Active NPI
Rudolph Patrick Savage Jr., PH.D.
- Clinical Psychologist
- Silver Spring, MD
National Provider Identifier
1912048695
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2219
- 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, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 11
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.
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
| License | State | Type | Specialty |
|---|---|---|---|
| MD 2219 | MD | MD | Cognitive & Behavioral Psychologist |
| 2219 | MD | MD | Forensic 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.