Active NPI
Emma E Sholtis, PSY.D
- Psychologist
- Gaithersburg, MD
National Provider Identifier
1952641334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 05498
- Practice address
- 707 Conservation LN Ste 300
Gaithersburg, MD 20878-2983 - Phone
- (240) 801-5513
- NPI assigned
- Feb 22, 2013
- Last updated
- Jul 21, 2022
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY1001041 | DC | |
| Psychologist | 103T00000X | 05498 | MD | Primary |
Addresses
Primary practice location
707 Conservation LN Ste 300
Gaithersburg, MD 20878-2983
Mailing address
19801 Pinebark Way
Brinklow, MD 20862-9715
Phone (216) 513-0668
Other practice location 1
5000 14th St NW
Washington, DC 20011-6926
Phone (202) 722-5555
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 589561800 | Medicaid | MD |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY1001041 | DC | MD | Psychologist |
| 05498 | MD | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Kingsbury Center Inc. | Psychologist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Intellectual & Developmental Disabilities Psychologist
- Washington, DC
- NPI 1245351956
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1952641334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19801 PINEBARK WAY",
"city": "BRINKLOW",
"state": "MD",
"postal_code": "208629715",
"telephone_number": "216-513-0668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "707 CONSERVATION LN STE 300",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208782983",
"telephone_number": "240-801-5513"
}
],
"practiceLocations": [
{
"address_1": "5000 14th St NW",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200116926",
"country_code": "US",
"telephone_number": "202-722-5555",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHOLTIS",
"first_name": "EMMA",
"middle_name": "E",
"credential": "PSY.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-02-22",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "DC",
"license": "PSY1001041",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MD",
"license": "05498",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "589561800",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gaithersburg, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.