| Psychcare Psychological Services, Llc | |
|
12501 Prosperity Dr Ste 310 Silver Spring MD 20904-1699 | |
| (240) 780-8884 | |
| Not Available |
| Full Name | Psychcare Psychological Services, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 12501 Prosperity Dr Ste 310, Silver Spring, Maryland |
| Authorized Official Name and Position | Levi Y Breuer (PSYCHOLOGIST/OWNER) |
| Authorized Official Contact | 4103439756 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychcare Psychological Services, Llc 12501 Prosperity Dr Ste 301 Silver Spring MD 20904-1689 Ph: (240) 780-8884 | Psychcare Psychological Services, Llc 12501 Prosperity Dr Ste 310 Silver Spring MD 20904-1699 Ph: (240) 780-8884 |
| NPI Number | 1831529767 |
|---|---|
| Provider Enumeration Date | 11/13/2013 |
| Last Update Date | 11/17/2020 |
| Certification Date | 11/17/2020 |
| Medicare PECOS PAC ID | 2264660133 |
|---|---|
| Medicare Enrollment ID | O20140123000253 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831529767 | NPI | - | NPPES |
| 988400900 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Elizabeth R Disney |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770505331 PECOS PAC ID: 0840222121 Enrollment ID: I20050907001038 |
| Provider Name | William Clare |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720177769 PECOS PAC ID: 8123020682 Enrollment ID: I20070213000202 |
| Provider Name | Levi Y Breuer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1902100605 PECOS PAC ID: 6103002472 Enrollment ID: I20110520000655 |
| Provider Name | Sally A Mays |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1033528765 PECOS PAC ID: 0042439457 Enrollment ID: I20140917001934 |
| Provider Name | Jennifer H Bozenski |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437482734 PECOS PAC ID: 5890006233 Enrollment ID: I20150625001819 |
| Provider Name | Elise Smithmyer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962835405 PECOS PAC ID: 4688988751 Enrollment ID: I20150803001537 |
| Provider Name | Sabrina Krum |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598047227 PECOS PAC ID: 3173754207 Enrollment ID: I20160330001614 |
| Provider Name | James Rutledge |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295070274 PECOS PAC ID: 0446539316 Enrollment ID: I20161228001906 |
| Provider Name | Victoria E Lee |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326465899 PECOS PAC ID: 1456618099 Enrollment ID: I20171214000472 |
| Provider Name | Ariel Nickesha Nickie |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447708292 PECOS PAC ID: 5395026884 Enrollment ID: I20180727000028 |
| Provider Name | Penny S Zimmerman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497082044 PECOS PAC ID: 3375722283 Enrollment ID: I20190211001948 |
| Provider Name | Kristen Izant |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952790370 PECOS PAC ID: 8820410996 Enrollment ID: I20200618000120 |
| Provider Name | Saskia Inwood |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346882263 PECOS PAC ID: 7517375884 Enrollment ID: I20210428001148 |
| Provider Name | Kayi Hui-spears |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1861989667 PECOS PAC ID: 9931464823 Enrollment ID: I20220526002904 |
| Provider Name | Danielle Rooney |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336757186 PECOS PAC ID: 7214300441 Enrollment ID: I20230308002274 |
| Provider Name | John D Flannery |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417488610 PECOS PAC ID: 2860865037 Enrollment ID: I20230309000310 |
| Provider Name | April Turner |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1306503511 PECOS PAC ID: 1052777810 Enrollment ID: I20230520000012 |
| Provider Name | Mary Mcguire |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1245934488 PECOS PAC ID: 0345606984 Enrollment ID: I20230524000083 |
| Provider Name | Merrilee Peske |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1285076612 PECOS PAC ID: 8527416718 Enrollment ID: I20231129000353 |
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