SPARROW NEUROPSYCHOLOGY, P.A. (NPI# 1194869412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194869412 |
| Entity Type | Organization |
| Organization Name | SPARROW NEUROPSYCHOLOGY, P.A. |
| Practice Address |
16918 York Rd Suite 201 Monkton MD 21111-1022 |
| Practice Telephone | 4103570339 |
| Practice Fax Number | 4103570348 |
| Mailing Telephone | 4103570339 |
| Mailing Fax Number | 4103570348 |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. ELIZABETH P. SPARROW (PRESIDENT) |
| Authorized Official Telephone | 4103570339 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103G00000X | Clinical Neuropsychologist | 03955 | MD | Behavioral Health & Social Service Providers |
| X | 103TC0700X |
Psychologist Specialization: Clinical |
03955 | MD | Behavioral Health & Social Service Providers |
| X | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
03955 | MD | Behavioral Health & Social Service Providers |
| X | 103T00000X | Psychologist | 03955 | MD | Behavioral Health & Social Service Providers |
| X | 103TM1800X |
Psychologist Specialization: Mental Retardation & Developmental Disabilities |
03955 | MD | Behavioral Health & Social Service Providers |
| Street Address |
16918 YORK RD SUITE 201 |
| City | MONKTON |
| State | MD |
| Zip Code | 21111-1022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750395984 | Kathleen M. Tully | Family Medicine | 16918 York Rd, Suite 100, Monkton, MD 21111-1022 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255489456 | Carol Elizabeth Watkins | Psychiatry & Neurology | 16829 York Rd, Monkton, MD 21111-1020 | 2007-01-06 |
| 1528252632 | Michael A Sless, O.d. P.a. | Optometrist | 16940 York Rd Ste 200, Monkton, MD 21111-1038 | 2007-08-31 |
| 1659584621 | Robert L. Gattuso, M.d., P.a. | Family Medicine | 16950 York Rd, Monkton, MD 21111-1040 | 2007-05-07 |
| 1932381977 | Craig Longenecker | Dentist | 16928 York Rd, Monkton, MD 21111-1042 | 2007-12-01 |
| 1821475633 | Craig C. Longenecker Dds Pa | Dentist | 16928 York Rd, Monkton, MD 21111-1042 | 2015-04-30 |
| 1801839709 | Michael A Sless | Optometrist | 16940 York Rd, Suite 200, Monkton, MD 21111-1095 | 2006-06-14 |
| 1679637979 | Robert Leroy Gattuso | Family Medicine | 16940 York Rd, Suite 204b, Monkton, MD 21111-1095 | 2006-12-20 |
| 1457631491 | Jennifer Lane Swanson | Doula | 17205 Wesley Chapel Rd, Monkton, MD 21111-1205 | 2011-08-23 |
| 1528343142 | Page Mcdonald Crosby | Occupational Therapist | 1628 Corbett Rd, Monkton, MD 21111-1516 | 2011-10-14 |
| 1477580728 | Lisa Salladin Childs | Social Worker | 16260 Falls Rd, Monkton, MD 21111-1621 | 2006-06-26 |
| Find all providers in zip 21111 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| Find all providers with the same taxonomy | ||||
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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.