Individual provider Active NPI

Rudolph Patrick Savage Jr., PH.D.

  • Clinical Psychologist
  • Silver Spring, MD
National Provider Identifier
1912048695
Registry record updated Nov 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2219 Issued in MD
Practice address
1109 Spring St
Suite 604
Silver Spring, MD 20910-4002
Phone
(301) 587-2818
Fax
(301) 774-0575
NPI assigned
Feb 8, 2007
Last updated
Nov 13, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2011

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

Specialties & licenses 11

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 2219 MD
Addiction (Substance Use Disorder) Psychologist 103TA0400X 2219 MD
Cognitive & Behavioral Psychologist 103TB0200X MD 2219 MD
Clinical Psychologist 103TC0700X 2219 MD Primary
Counseling Psychologist 103TC1900X 2219 MD
Clinical Child & Adolescent Psychologist 103TC2200X 2219 MD
Family Psychologist 103TF0000X 2219 MD
Forensic Psychologist 103TF0200X 2219 MD
Intellectual & Developmental Disabilities Psychologist 103TM1800X 2219 MD
Rehabilitation Psychologist 103TR0400X 2219 MD
Health Psychologist 103TH0004X 2219 MD

Addresses

Primary practice location

1109 Spring St
Suite 604
Silver Spring, MD 20910-4002

Mailing address

1109 Spring St
Suite 604
Silver Spring, MD 20910-4002
Phone (301) 587-2818

Other names 1

  • Dr. R. Patrick Savage Jr. Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2023 through Jan 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
MD 2219MDMDCognitive & Behavioral Psychologist
2219MDMDForensic Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321142400000",
    "number": "1912048695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 SPRING ST",
            "address_2": "SUITE 604",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209104002",
            "telephone_number": "301-587-2818",
            "fax_number": "301-774-0575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 SPRING ST",
            "address_2": "SUITE 604",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209104002",
            "telephone_number": "301-587-2818",
            "fax_number": "301-774-0575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAVAGE",
        "first_name": "RUDOLPH",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-08",
        "last_updated": "2011-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "MD",
            "license": "2219",
            "primary": false
        },
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "MD",
            "license": "2219",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "MD",
            "license": "MD 2219",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "2219",
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MD",
            "license": "2219",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "MD",
            "license": "2219",
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "MD",
            "license": "2219",
            "primary": false
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "MD",
            "license": "2219",
            "primary": false
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "MD",
            "license": "2219",
            "primary": false
        },
        {
            "code": "103TR0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Rehabilitation",
            "state": "MD",
            "license": "2219",
            "primary": false
        },
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": "MD",
            "license": "2219",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "R.",
            "last_name": "SAVAGE",
            "middle_name": "PATRICK",
            "prefix": "DR.",
            "suffix": "JR.",
            "credential": "PH.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Silver Spring, MD

Sources for this page

Verify at the official NPI Registry.