Individual provider Active NPI

Amanda Rhodes

  • Clinical Psychologist
  • Chevy Chase, MD
National Provider Identifier
1982367561
Registry record updated Nov 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
06442 Issued in MD
Practice address
2 Wisconsin Cir Ste 915
Chevy Chase, MD 20815-7036
Phone
(240) 760-6024
NPI assigned
Oct 20, 2021
Last updated
Nov 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2023

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 06442 MD Primary

Addresses

Primary practice location

2 Wisconsin Cir Ste 915
Chevy Chase, MD 20815-7036

Mailing address

2 Wisconsin Cir Ste 915
Chevy Chase, MD 20815-7036

Other identifiers 1

IdentifierTypeStateIssuer
06442OtherMDPSYCHOLOGY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jun 12, 2023 through Jun 12, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
06442MDMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Bethesda-Chevy Chase Psychological Services LLC Current Accepting new patients

Locations

2 Wisconsin Cir
Ste 915
Chevy Chase, MD 20815
Phone (240) 464-5064

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.

NPI Registry JSON

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

{
    "created_epoch": "1634688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1982367561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 WISCONSIN CIR STE 915",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208157036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 WISCONSIN CIR STE 915",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208157036",
            "telephone_number": "240-760-6024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHODES",
        "first_name": "AMANDA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-20",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "06442",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHOLOGY",
            "identifier": "06442",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chevy Chase, MD

Sources for this page

Verify at the official NPI Registry.