Candace R. Cotton, PH.D.
Individual provider Active NPI Clinical Psychologist · North Potomac, MD
NPI 1831259324 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1831259324
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 2325 (MD)
- Practice address
- 10837 Tuckahoe Way
North Potomac, MD 20878-4226 - Phone
- (301) 279-9066
- Fax
- (301) 279-9548
- NPI assigned
- Dec 12, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
10837 Tuckahoe Way
North Potomac, MD 20878-4226
Phone (301) 279-9066
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170321002691 | DC | Practitioner - Clinical Psychologist | 1355626912 | Practice locations: North Potomac, MD |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02325 | MD | MD | Occupational Therapist |
| 2325 | MD | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 2325 | MD | Yes |
Addresses
Primary practice location
10837 Tuckahoe Way
North Potomac, MD 20878-4226
Mailing address
10837 Tuckahoe Way
North Potomac, MD 20878-4226
Phone (301) 279-9066
Other providers in North Potomac, MD
- Classen-Miller & Associates LLC
- Gertrud Irmgard Classen-Miller
- Cognitive Brain Training
- Meira Cohen
- Jennifer Coon
- Birgit Genoveva Cox
- Megan Cullen
- Daniel E. Snow, M.D., Gaithersburg Family Pracitce, PC
- John Danna
- Svetlana A Danshes
All providers in North Potomac, MD · Clinical Psychologist in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.