Active NPI
Judi Frum
- Psychologist
- Gaithersburg, MD
National Provider Identifier
1801212329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 1445
- Practice address
- 31 Allenhurst CT
Gaithersburg, MD 20878-1934 - Phone
- (301) 679-0693
- Fax
- (301) 670-0693
- NPI assigned
- Mar 7, 2014
- Last updated
- Mar 7, 2014
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 1445 | MD | Primary |
Addresses
Primary practice location
31 Allenhurst CT
Gaithersburg, MD 20878-1934
Mailing address
31 Allenhurst CT
Gaithersburg, MD 20878-1934
Phone (301) 679-0693
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1445 | MD | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1394150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1394150400000",
"number": "1801212329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31 ALLENHURST CT",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208781934",
"telephone_number": "301-679-0693",
"fax_number": "301-670-0693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31 ALLENHURST CT",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208781934",
"telephone_number": "301-679-0693",
"fax_number": "301-670-0693"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRUM",
"first_name": "JUDI",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-03-07",
"last_updated": "2014-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MD",
"license": "1445",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gaithersburg, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.