Individual provider Active NPI

Christina Marie Kubicek, PSY.D.

  • Clinical Psychologist
  • Chevy Chase, MD
National Provider Identifier
1871399303
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
07361 Issued in MD
Practice address
5550 Friendship Blvd Ste 590
Chevy Chase, MD 20815-7310
Phone
(240) 945-2390
NPI assigned
Feb 24, 2025
Last updated
May 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 07361 MD
Clinical Psychologist 103TC0700X 07361 MD Primary

Addresses

Primary practice location

5550 Friendship Blvd Ste 590
Chevy Chase, MD 20815-7310

Mailing address

5550 Friendship Blvd Ste 590
Chevy Chase, MD 20815-7310
Phone (410) 757-2077

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20250514000469 DC Practitioner - Clinical Psychologist 2567980576 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
07361MDMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Arundel Mental Health Professionals L.C. Clinical CurrentSince Jun 28, 2025 Accepting new patients

Locations

1511 Ritchie Hwy
Ste 202
Arnold, MD 21012
Phone (410) 757-5184

5550 Friendship Blvd
Ste 590
Chevy Chase, MD 20815
Phone (240) 945-2390

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1740355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746489600000",
    "number": "1871399303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5550 FRIENDSHIP BLVD STE 590",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208157310",
            "telephone_number": "410-757-2077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5550 FRIENDSHIP BLVD STE 590",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208157310",
            "telephone_number": "240-945-2390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUBICEK",
        "first_name": "CHRISTINA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-24",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MD",
            "license": "07361",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "07361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chevy Chase, MD

Sources for this page

Verify at the official NPI Registry.