Organization Active NPI

Judith Mazza, PH.D., P.a.

  • Clinical Psychologist
  • Bethesda, MD
National Provider Identifier
1801167705
Registry record updated Jan 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0912 Issued in MD
Legal business name
JUDITH MAZZA, PH.D., P.A.
Practice address
8504 Meadowlark LN
Bethesda, MD 20817-2921
Phone
(301) 469-7200
Fax
(301) 469-7200
NPI assigned
Jan 24, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2012

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

Authorized official

Name
Dr. Judith Mazza, PH.D.
Title
President
Phone
(301) 365-0922

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 0912 MD Primary

Addresses

Primary practice location

8504 Meadowlark LN
Bethesda, MD 20817-2921

Mailing address

8504 Meadowlark LN
Bethesda, MD 20817-2921
Phone (301) 469-7200

Other identifiers 2

IdentifierTypeStateIssuer
1073673075OtherMDNPI
0912OtherMDMARYLAND PSYCHOLOGIST LICENSE NUMBER

Other names 1

  • Center for Problem Solving Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1327363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327363200000",
    "number": "1801167705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8504 MEADOWLARK LN",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208172921",
            "telephone_number": "301-469-7200",
            "fax_number": "301-469-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8504 MEADOWLARK LN",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208172921",
            "telephone_number": "301-469-7200",
            "fax_number": "301-469-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUDITH MAZZA, PH.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-24",
        "last_updated": "2012-01-24",
        "status": "A",
        "authorized_official_last_name": "MAZZA",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-365-0922",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "0912",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1073673075",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARYLAND PSYCHOLOGIST LICENSE NUMBER",
            "identifier": "0912",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Problem Solving",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jan 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.