Active NPI
Alice Gail Dvoskin, PH.D.
- Clinical Psychologist
- Baltimore, MD
National Provider Identifier
1902947922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1501
- Practice address
- 5100 Falls Rd
239 Village Square II
Baltimore, MD 21210-1935 - Phone
- (410) 433-7774
- NPI assigned
- Feb 11, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1501 | MD | Primary |
Addresses
Primary practice location
5100 Falls Rd
239 Village Square II
Baltimore, MD 21210-1935
Mailing address
5100 Falls Rd
239 Village Square II
Baltimore, MD 21210-1935
Phone (410) 433-7774
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1501 | MD | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1902947922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5100 FALLS RD",
"address_2": "239 VILLAGE SQUARE II",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212101935",
"telephone_number": "410-433-7774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5100 FALLS RD",
"address_2": "239 VILLAGE SQUARE II",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212101935",
"telephone_number": "410-433-7774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DVOSKIN",
"first_name": "ALICE",
"middle_name": "GAIL",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MD",
"license": "1501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
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- Dva Healthcare Renal Care, Inc. (Harbor Park Dialysis)
- Santosh Kumar Dwarakanath, RPH
- Allan Dworkin, DDS
- Patricia Dwyer-Heinrichs, RN, MSN, CRNP
- Alexander Joseph Dwyer, MD, PHD
- Emily Joanna Dwyer, PA-C
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.