Active NPI
Jessica Pavlick, M.PSY.
- Student in an Organized Health Care Education/Training Program
- Potomac, MD
National Provider Identifier
1851787519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 10924 Martingale CT
Potomac, MD 20854-1560 - Phone
- (240) 476-2937
- NPI assigned
- Apr 9, 2015
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | LA | Primary |
Addresses
Primary practice location
10924 Martingale CT
Potomac, MD 20854-1560
Mailing address
10924 Martingale CT
Potomac, MD 20854-1560
Phone (240) 476-2937
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428537600000",
"number": "1851787519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10924 MARTINGALE CT",
"city": "POTOMAC",
"state": "MD",
"postal_code": "208541560",
"telephone_number": "240-476-2937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10924 MARTINGALE CT",
"city": "POTOMAC",
"state": "MD",
"postal_code": "208541560",
"telephone_number": "240-476-2937"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAVLICK",
"first_name": "JESSICA",
"credential": "M.PSY.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-09",
"last_updated": "2015-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "LA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Potomac, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.