Individual provider Active NPI

Stewart A Zelman, PH.D.

  • Clinical Psychologist
  • Bethesda, MD
National Provider Identifier
1811042377
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
01970 Issued in MD
Practice address
5410 McKinley St
Bethesda, MD 20817-3764
Phone
(301) 593-8333
Fax
(240) 465-0866
NPI assigned
Jan 24, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 01970 MD Primary

Addresses

Primary practice location

5410 McKinley St
Bethesda, MD 20817-3764

Mailing address

PO Box 356
Glenelg, MD 21737-0356
Phone (301) 593-8333

Other identifiers 2

IdentifierTypeStateIssuer
P3691371OtherMDOXFORD HEALTH
DC3572OtherMDRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20041206000861 DC Practitioner - Clinical Psychologist 1355307976 Practice locations: Bethesda, MD
I20210210000046 MD Practitioner - Clinical Psychologist 1355307976 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

12549 Folly Quarter Rd
Ellicott City, MD 21042-1207
Phone (301) 593-8333

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01970MDMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Centers for Motivation, Inc. Clinical CurrentSince Jan 20, 2021 Accepting new patients

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": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811042377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 356",
            "city": "GLENELG",
            "state": "MD",
            "postal_code": "217370356",
            "telephone_number": "301-593-8333",
            "fax_number": "240-465-0866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5410 MCKINLEY ST",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208173764",
            "telephone_number": "301-593-8333",
            "fax_number": "240-465-0866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZELMAN",
        "first_name": "STEWART",
        "middle_name": "A",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "01970",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH",
            "identifier": "P3691371",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DC3572",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

Verify at the official NPI Registry.