Individual provider Active NPI

Anjali Jain, PH.D.

  • Clinical Psychologist
  • New Market, MD
National Provider Identifier
1982167185
Registry record updated Jul 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
06057 Issued in MD
Practice address
11247 Country Club Rd
New Market, MD 21774-6736
Phone
(240) 457-9830
NPI assigned
Apr 13, 2019
Last updated
Jul 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 06057 MD Primary

Addresses

Primary practice location

11247 Country Club Rd
New Market, MD 21774-6736

Mailing address

11247 Country Club Rd
New Market, MD 21774-6736
Phone (240) 457-9830

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211011000733 MD Practitioner - Clinical Psychologist 6204234966 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lake Linganore Psychiatry, PLLCGroup PAC ID 5193255248, 6 clinicians

Practice addresses (Care Compare)

11247 Country Club Rd
New Market, MD 21774-6736
Phone (240) 457-9830

617 W Patrick St
Suite 223
Frederick, MD 21701-4027
Phone (240) 405-8084

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
06057MDMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Arundel Mental Health Professionals LLC Clinical CurrentSince Nov 1, 2022 Accepting new patients
Lake Linganore Psychiatry, PLLC CurrentSince Sep 1, 2025 Accepting new patients
Arundel Mental Health Professionals LLC Clinical PastSince Jul 31, 2022 Accepting new patients

Locations

1511 Ritchie Hwy
Ste 202
Arnold, MD 21012
Phone (410) 757-5184

2650 Quarry Lake Dr
Ste 200
Baltimore, MD 21209

617 W Patrick St
Ste 223
Frederick, MD 21701
Phone (240) 405-8084

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1555113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752364800000",
    "number": "1982167185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11247 COUNTRY CLUB RD",
            "city": "NEW MARKET",
            "state": "MD",
            "postal_code": "217746736",
            "telephone_number": "240-457-9830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11247 COUNTRY CLUB RD",
            "city": "NEW MARKET",
            "state": "MD",
            "postal_code": "217746736",
            "telephone_number": "240-457-9830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAIN",
        "first_name": "ANJALI",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-13",
        "last_updated": "2025-07-13",
        "certification_date": "2025-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "06057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Market, MD

Sources for this page

Verify at the official NPI Registry.