DR. MARVIN HARVEY PODD (NPI# 1164484192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164484192 |
Entity Type | Individual |
Full Name | DR. MARVIN HARVEY PODD |
Credential | PH.D. |
Practice Address |
8901 Wisconsin Ave Adult Behavioral Healthcare Clinic Bethesda MD 20889-5600 |
Practice Telephone | 3012952483 |
Practice Fax Number | 3012956720 |
Mailing Telephone | 3012952483 |
Mailing Fax Number | 3012956720 |
Enumeration Date | 2006-04-05 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103G00000X | Clinical Neuropsychologist | 974 | MD | Behavioral Health & Social Service Providers |
Street Address |
8901 WISCONSIN AVE ADULT BEHAVIORAL HEALTHCARE CLINIC |
City | BETHESDA |
State | MD |
Zip Code | 20889-5600 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093710246 | Rosemary Grace Carr-malone | Psychiatry & Neurology | 8901 Wisconsin Ave, Bethesda, MD 20889-5600 | 2005-06-15 |
1861017212 | Luke White | Student in an Organized Health Care Education/Training Program | 8901 Wisconsin Ave, Bethesda, MD 20889-0004 | 2020-06-11 |
1538782545 | Alexander Pastino | Student in an Organized Health Care Education/Training Program | 8901 Wisconsin Ave, Bethesda, MD 20889-0004 | 2020-05-26 |
1104449362 | Justin James De Vera | Student in an Organized Health Care Education/Training Program | 8901 Wisconsin Ave, Bethesda, MD 20889-0004 | 2020-05-22 |
1881217180 | Reece Mckenzie | Student in an Organized Health Care Education/Training Program | 8901 Wisconsin Ave, Bethesda, MD 20889-0004 | 2020-05-20 |
1073135695 | Alex Kim | Student in an Organized Health Care Education/Training Program | 8901 Wisconsin Ave, Bethesda, MD 20889-0004 | 2020-05-18 |
1619599354 | Jacob Mickey Wyse | Student in an Organized Health Care Education/Training Program | 8901 Wisconsin Ave, Bethesda, MD 20889-0004 | 2020-05-16 |
1770105413 | Anna M Russell | Student in an Organized Health Care Education/Training Program | 8901 Wisconsin Ave, Bethesda, MD 20889-0004 | 2020-05-16 |
1699397364 | Jessica Nicole Clark | Student in an Organized Health Care Education/Training Program | 8901 Wisconsin Ave, Bethesda, MD 20889-0004 | 2020-05-15 |
1558983296 | Mason Cleary Ditthardt Fortuno | Military Health Care Provider | 8901 Wisconsin Ave, Bethesda, MD 20889-0004 | 2020-05-15 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457987034 | Michael Franco | Student in an Organized Health Care Education/Training Program | Internal Medicine - Walter Reed Nmmc, 8901 Wisconsin Avenue, Bethesda, MD 20889 | 2020-03-16 |
1245862135 | Kay Tomashek | Pediatrics | National Military Medical Center, 8901 Rockville Pike, Bethesda, MD 20889 | 2020-02-07 |
1104470657 | Adam Pink | Dentist | 8901 Wisconsin Ave Building 9 Floor 2, Bethesda, MD 20889 | 2019-08-01 |
1659939155 | Matthew Heller | Student in an Organized Health Care Education/Training Program | Psychiatry Walter Reed National Military Medica, 8901 Wisconsin Avenue, Bethesda, MD 20889 | 2019-05-30 |
1891258034 | Jane Ann Crotteau | Student in an Organized Health Care Education/Training Program | Pediatrics Walter Reed National Military Medical Center, 8901 Wisconsin Avenue, Bethesda, MD 20889 | 2019-04-12 |
1417434341 | Andrea Baeder | Dentist | 8901 Wisconsin Ave Bldg 9, Floor 2, Bethesda, AA 20889 | 2018-07-24 |
1942741723 | John Vance | Orthotist | Wrnmmc Orthotics, 8901 Wisconsin Avenue, Bethesda, MD 20889 | 2017-03-14 |
1790225704 | Sylvia Best | Pharmacist | 8901 Wisconsin Avenue Wrnmmc-, Americas Building 19- Internal Medicine Suite 2820, Bethesda, MD 20889 | 2017-02-24 |
1255783767 | Ryan Kaye | Student in an Organized Health Care Education/Training Program | Nsa Bethesda, 8901 Wisconsin Ave, Bethesda, Md 20889, Fpo, AA 20889 | 2016-07-08 |
1366861221 | Tara Elizabeth Brown | Internal Medicine | 8901 Wisconsin Avenue Walter Reed Nmmc, Bethesda, MD 20889 | 2014-04-08 |
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Taxonomy Code | 103G00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Clinical Neuropsychologist |
An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639127855 | Allan F Mirsky | Clinical Neuropsychologist | 5110 Ridgefield Road, Suite 104, Bethesda, MD 20816 | 2006-05-04 |
1851811749 | Elpida Hope Michael Nissirios | Clinical Neuropsychologist | 4416 E West Hwy Ste 201, Bethesda, MD 20814-4572 | 2017-06-22 |
1619302783 | Catherine Ann Mcgill | Clinical Neuropsychologist | 4416 E West Hwy Ste 201, Bethesda, MD 20814-4572 | 2013-09-09 |
1548421365 | Tanya Jean Mcgovern | Clinical Neuropsychologist | 8901 Rockville Pike, Bethesda, MD 20889-1400 | 2008-06-24 |
1073704847 | Francis J. Fishburne | Clinical Neuropsychologist | 10401 Old Georgetown Rd, Suite208, Bethesda, MD 20814-1911 | 2007-08-07 |
1760575062 | Louis M French | Clinical Neuropsychologist | 8901 Wisconsin Ave, Bldg 51 Nicoe/wrnmmc, Bethesda, MD 20889-0004 | 2006-10-02 |
1922060987 | Eric Joseph Getka | Clinical Neuropsychologist | 8901 Wisconsin Ave., Bethesda, MD 20889-0001 | 2006-04-05 |
1922078021 | Maria Nmi Mouratidis | Clinical Neuropsychologist | 8901 Wisconsin Avenue, Bldg 7 3rd Floor, Bethesda, MD 20889-0001 | 2006-01-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760004832 | Kehinde Bolajoko Abioye | Clinical Neuropsychologist | 10420 Little Patuxent Pkwy Ste 250, Columbia, MD 21044-3638 | 2020-05-12 |
1568953370 | Carleen Graham Schwimmer | Clinical Neuropsychologist | Veterans Affairs War Related Illness & Injury (wriisc), 50 Irving Street Nw, Washington, MD 20707 | 2018-05-29 |
1790207967 | Allison Morgan Hecht | Clinical Neuropsychologist | 101 E Chesapeake Ave Ste 202, Towson, MD 21286-5362 | 2017-07-10 |
1902333107 | Keenan Alexander Walker | Clinical Neuropsychologist | Phipps, Room 446, 600 North Wolfe Street, Baltimore, MD 21287 | 2017-05-18 |
1467804393 | Emma Cole | Clinical Neuropsychologist | 7621 Warbler Ln, Derwood, MD 20855-1031 | 2016-07-03 |
1184071375 | Shawn Shanee Nelson Schmitt | Clinical Neuropsychologist | 8555 16th St Ste 310, Summit Building, Silver Spring, MD 20910-2802 | 2016-05-18 |
1528421625 | Ellen Iscoe | Clinical Neuropsychologist | 3907 Livingston St, Hyattsville, MD 20781-1740 | 2016-04-05 |
1174930515 | Alyssa Levisohn | Clinical Neuropsychologist | 714 Kersey Rd, Silver Spring, MD 20902-3061 | 2014-07-17 |
1588008510 | Jacqueline R Weaver | Clinical Neuropsychologist | 2200 Kernan Dr Ofc 1219, Baltimore, MD 21207-6665 | 2013-04-21 |
1275875221 | Matthew Lawrence Cohen | Clinical Neuropsychologist | Meyer 218 The Johns Hopkins Hospital, 600 N Wolfe St, Baltimore, MD 21287-0005 | 2013-03-17 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.