Active NPI
Carol Kline Juran, PHD
- Psychologist
- Gaithersburg, MD
National Provider Identifier
1821159385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 00638
- Practice address
- 16220 S Frederick Avenue
Suite 502
Gaithersburg, MD 20877-4022 - Phone
- (301) 978-9750
- Fax
- (301) 978-9753
- NPI assigned
- Dec 12, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 00638 | MD | Primary |
Addresses
Primary practice location
16220 S Frederick Avenue
Suite 502
Gaithersburg, MD 20877-4022
Mailing address
16220 S Frederick Avenue
Suite 502
Gaithersburg, MD 20877-4022
Phone (301) 978-9750
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00638 | MD | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1821159385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16220 S FREDERICK AVENUE",
"address_2": "SUITE 502",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208774022",
"telephone_number": "301-978-9750",
"fax_number": "301-978-9753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16220 S FREDERICK AVENUE",
"address_2": "SUITE 502",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208774022",
"telephone_number": "301-978-9750",
"fax_number": "301-978-9753"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JURAN",
"first_name": "CAROL",
"middle_name": "KLINE",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MD",
"license": "00638",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gaithersburg, MD
- Kiera Jubilee
- Jun Tae Bae, DDS, LLC
- Jun Y. Lee, D.D.S., P.C.
- Eui Gil Jung, L.AC
- Ji Young Jung
- K a N Healthcare
- Aline Antoinette Kadji-Tedjeu, FNP
- Kaiser Foundation Health Plan of the Mid Atlantic States, Inc
- Kaiser Foundation Health Plan of the Mid Atlantic States, Inc
- Kaiser Foundation Health Plan of the Mid Atlantic States, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.