Active NPI
Kimberly Sanschagrin, J.D., PH.D.
- Clinical Psychologist
- Bel Air, MD
National Provider Identifier
1942699178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 4602
- Practice address
- 9 W Courtland St
101
Bel Air, MD 21014-3743 - Phone
- (443) 866-1578
- NPI assigned
- Jan 12, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Forensic Psychologist | 103TF0200X | 4602 | MD | |
| Clinical Psychologist | 103TC0700X | 4602 | MD | Primary |
Addresses
Primary practice location
9 W Courtland St
101
Bel Air, MD 21014-3743
Mailing address
9 W Courtland St
101
Bel Air, MD 21014-3743
Phone (443) 866-1578
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
- Juris Doctor, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4602 | MD | MD | Forensic Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421020800000",
"number": "1942699178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 W COURTLAND ST",
"address_2": "101",
"city": "BEL AIR",
"state": "MD",
"postal_code": "210143743",
"telephone_number": "443-866-1578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 W COURTLAND ST",
"address_2": "101",
"city": "BEL AIR",
"state": "MD",
"postal_code": "210143743",
"telephone_number": "443-866-1578"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANSCHAGRIN",
"first_name": "KIMBERLY",
"name_prefix": "Dr.",
"credential": "J.D., PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-12",
"last_updated": "2015-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "103TF0200X",
"taxonomy_group": "",
"desc": "Psychologist, Forensic",
"state": "MD",
"license": "4602",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MD",
"license": "4602",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bel Air, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.