Individual provider Active NPI

Sally G. McBride, PH.D.

  • Clinical Psychologist
  • Annapolis, MD
National Provider Identifier
1801099080
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0366 Issued in MD
Practice address
1011 Bay Ridge Ave # 119
Annapolis, MD 21403-3031
Phone
(443) 223-9002
NPI assigned
Jun 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 0366 MD Primary

Addresses

Primary practice location

1011 Bay Ridge Ave # 119
Annapolis, MD 21403-3031

Mailing address

1011 Bay Ridge Ave # 119
Annapolis, MD 21403-3031
Phone (443) 223-9002

Other identifiers 1

IdentifierTypeStateIssuer
571217260OtherTAX ID.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081023000789 MD Practitioner - Clinical Psychologist 8426116435 Practice locations: Annapolis, MD

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1011 Bay Ridge Ave
Suite 119
Annapolis, MD 21403-3031
Phone (443) 223-9002

700 Americana Dr
Apt 52
Annapolis, MD 21403-3180
Phone (443) 223-9002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
0366MDMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sally G. McBride PH.D. Clinical CurrentSince Apr 1, 2020 Accepting new patients

Locations

49 Old Solomons Island Rd
Annapolis, MD 21401
Phone (410) 266-8555

49 Old Solomons Island Rd
Ste 200
Annapolis, MD 21401
Phone (410) 266-8555

2024 West St
Ste 300
Annapolis, MD 21401
Phone (239) 293-0057

1011 Bay Ridge Ave
Annapolis, MD 21403
Phone (410) 339-1979

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1801099080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 BAY RIDGE AVE # 119",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214033031",
            "telephone_number": "443-223-9002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 BAY RIDGE AVE # 119",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214033031",
            "telephone_number": "443-223-9002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCBRIDE",
        "first_name": "SALLY",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-06",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "0366",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID.",
            "identifier": "571217260",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

Verify at the official NPI Registry.