Elizabeth Halloran Maury, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

04288 Issued in MD

Practice address

1107 Spring St
Suite A2
Silver Spring, MD 20910-4027

Phone

(301) 920-1102

Fax

(301) 920-1087

NPI assigned

Sep 20, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jul 1, 2014 through Jul 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187654400000",
    "number": "1780782433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 FREEMONT AVE",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209125731",
            "telephone_number": "301-920-1087",
            "fax_number": "301-920-1087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 SPRING ST",
            "address_2": "SUITE A2",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209104027",
            "telephone_number": "301-920-1102",
            "fax_number": "301-920-1087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAURY",
        "first_name": "ELIZABETH",
        "middle_name": "HALLORAN",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY 6342",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "04288",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "DC",
            "license": "PSY1000405",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy Marie Matthews, APRN
• John Hill Mattocks, DDS
• Rubina H Mattu, M.D.
• Lizy B Matuke
• Benjamin Charles Mauro, PHD., BCBA-D
• Cheryl Mawo
• Maxcen Housing Society Maryland Branch Inc.
• Maximed Associates Inc.
• Lum Mercy Maximuangu, NP
• Maxmath Tutoring Online, Maryland Branch, Inc.

• Clinical Psychologist in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Clinical Psychologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.