Active NPI
Julia Shabat, PH.D.
- Clinical Psychologist
- Bethesda, MD
National Provider Identifier
1790123586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 04891
- Practice address
- 7910 Woodmont Ave Ste 1102
Bethesda, MD 20814-7020 - Phone
- (301) 980-2696
- NPI assigned
- Jun 13, 2013
- Last updated
- Oct 13, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 04891 | MD | Primary |
Addresses
Primary practice location
7910 Woodmont Ave Ste 1102
Bethesda, MD 20814-7020
Mailing address
7910 Woodmont Ave Ste 1102
Bethesda, MD 20814-7020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260427000220 | DC | Practitioner - Clinical Psychologist | 7911472451 | Practice locations: Bethesda, MD |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Northwestern University Feinberg Medical School, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
7910 Woodmont Ave
Suite 1102
Bethesda, MD 20814-7020
Phone (301) 980-2696
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04891 | MD | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1507852800000",
"number": "1790123586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7910 WOODMONT AVE STE 1102",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208147020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7910 WOODMONT AVE STE 1102",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208147020",
"telephone_number": "301-980-2696"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHABAT",
"first_name": "JULIA",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-06-13",
"last_updated": "2017-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MD",
"license": "04891",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2017; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.