Individual provider Active NPI

Heather Jean Scurtu Mann, PSYD

  • Clinical Psychologist
  • Rockville, MD
National Provider Identifier
1881168805
Registry record updated Apr 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
06069 Issued in MD
Practice address
Quince Orchard Psychotherapy
9707 Key West Avenue, Suite 100
Rockville, MD 20850
Phone
(240) 750-6467
NPI assigned
Jan 12, 2019
Last updated
Apr 11, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2019

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 06069 MD Primary

Addresses

Primary practice location

Quince Orchard Psychotherapy
9707 Key West Avenue, Suite 100
Rockville, MD 20850

Mailing address

13072 Ebenezer Chapel Dr
Clarksburg, MD 20871-4515
Phone (773) 592-5628

Other practice location 1

60 Market St # 207
Gaithersburg, MD 20878-6548
Phone (240) 750-6467

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

State licenses

LicenseStateTypeSpecialty
06069MDMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1547251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554940800000",
    "number": "1881168805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13072 EBENEZER CHAPEL DR",
            "city": "CLARKSBURG",
            "state": "MD",
            "postal_code": "208714515",
            "telephone_number": "773-592-5628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "QUINCE ORCHARD PSYCHOTHERAPY",
            "address_2": "9707 KEY WEST AVENUE, SUITE 100",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "20850",
            "telephone_number": "240-750-6467"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "60 Market St # 207",
            "address_purpose": "LOCATION",
            "city": "Gaithersburg",
            "state": "MD",
            "postal_code": "208786548",
            "country_code": "US",
            "telephone_number": "240-750-6467",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANN",
        "first_name": "HEATHER",
        "middle_name": "JEAN SCURTU",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-12",
        "last_updated": "2019-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "06069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.