DR. JENNIFER LYNN ROBERTSON (NPI# 1063674117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063674117 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER LYNN ROBERTSON |
| Other Name | MS. JENNIFER BLOOD ROBERTSON |
| Credential | PSY.D. |
| Practice Address |
50 W Montgomery Ave Suite 110 A Rockville MD 20850-4216 |
| Mailing Address |
1705 Tweed St Rockville MD 20851-1426 |
| Practice Telephone | 3012518965 |
| Practice Fax Number | 3012510136 |
| Mailing Telephone | 3019224816 |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2008-06-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC0700X |
Psychologist Specialization: Clinical |
PSY1000492 | DC | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
0810003931 | VA | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
04544 | MD | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992176556 | Jennifer Robertson | Case Manager/Care Coordinator | 6000 W 70th St, Apt 2401, Shreveport, LA 71129-2500 | 2015-10-08 |
| 1578974697 | Jennifer Robertson | Occupational Therapist | 18505 Tontogany Creek Road, Tontogany, OH 43565 | 2014-05-12 |
| 1194065706 | Jennifer Lynn Robertson | Occupational Therapy Assistant | 103 River Bend Rd, Apt. 2, Madison, WI 53713-4202 | 2013-02-18 |
| 1508128406 | Jennifer Diane Robertson | Developmental Therapist | 2707 Ne 14th St, Suite 5, Pompano Beach, FL 33062-3566 | 2012-06-15 |
| 1023390010 | Jennifer Robertson | Occupational Therapist | 303 Jefferson Ave, Fairport, NY 14450-2313 | 2011-09-15 |
| 1245497973 | Jennifer G Robertson | Counselor | 192 N Avon Ave, Ste 300, Avon, IN 46123-9513 | 2008-05-20 |
| 1356351613 | Jennifer E. Robertson | Speech-Language Pathologist | 16893 Hydrick Rd, Cherry Valley, AR 72324-8703 | 2006-08-09 |
| 1699333211 | Jennifer Robertson | Student in an Organized Health Care Education/Training Program | 20501 Ventura Blvd Ste 170, Woodland Hills, CA 91364-6258 | 2019-05-29 |
| 1598258261 | Jennifer Robertson | Rehabilitation Counselor | 202 N 8th St, El Centro, CA 92243-2302 | 2018-06-07 |
| 1376052795 | Jennifer Robertson | Licensed Practical Nurse | 781 Grand Casino Blvd, Shawnee, OK 74804 | 2017-09-28 |
| Street Address |
50 W MONTGOMERY AVE SUITE 110 A |
| City | ROCKVILLE |
| State | MD |
| Zip Code | 20850-4216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346226610 | Laney Mcharry | Social Worker | 50 W Montgomery Ave, Ste 110, Rockville, MD 20850-4216 | 2005-12-19 |
| 1821621871 | Kathleen Gifford | Psychologist | 50 W Montgomery Ave, Rockville, MD 20850-4216 | 2020-02-18 |
| 1003212846 | Ersilia Bostian | Counselor | 50 W Montgomery Ave, Suite 320, Rockville, MD 20850-4216 | 2014-11-05 |
| 1467770354 | Janice Herold | Counselor | 50 W Montgomery Ave, Suite 110, Rockville, MD 20850-4216 | 2010-05-17 |
| 1972744233 | Lisa Grace Mcgrath | Social Worker | 50 W Montgomery Ave, Suite 110, Rockville, MD 20850-4216 | 2009-03-17 |
| 1982845780 | Sandra Paula Kaufman | Genetic Counselor, MS | 50 W Montgomery Ave, Suite 110, Rockville, MD 20850-4216 | 2009-03-09 |
| 1598967564 | Jean Stewart Campenni | Counselor | 50 W Montgomery Ave, Ste. 110, Rockville, MD 20850-4216 | 2007-06-01 |
| 1225154180 | Beth Dana Levine | Social Worker | 50 W Montgomery Ave, Suite 320, Rockville, MD 20850-4216 | 2007-03-22 |
| 1427106616 | David Posner | Social Worker | 50 W Montgomery Ave, Suite 320, Rockville, MD 20850-4216 | 2007-01-06 |
| 1851339808 | Descanso, Inc | Social Worker | 50 W Montgomery Ave, Suite 110, Rockville, MD 20850-4216 | 2006-06-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487286050 | Um Fdsp Associates, P.a. | Dentist | 9631 Gudelsky Drive, Suite 2135, Rockville, MD 20850 | 2020-02-11 |
| 1134767874 | Bh Brightview Fallsgrove Opco, LLC | Alzheimer Center (Dementia Center) | 9200 Darnestown Road, Rockville, MD 20850 | 2019-12-12 |
| 1750924205 | Omer N Pamuk | Internal Medicine | 9000 Rockville Pike, Building 10, Room 10n-311, Rockville, MD 20850 | 2019-10-28 |
| 1902456502 | Fousseyni M Diawara | Radiologic Technologist | 1680 E Gude Dr Ste 302, Rockville, MD 20850 | 2019-09-16 |
| 1104485697 | Barbara S Delsack | Speech-Language Pathologist | Montgomery County Public Schools, 850 Hungerford Drive, Rockville, MD 20850 | 2019-06-10 |
| 1982178158 | Larissa Woloszyn | Behavioral Analyst | 15425 Shady Grove, Suite 320, Rockville, MD 20850 | 2019-01-21 |
| 1417421843 | Wei Li | Acupuncturist | 9600 Blackwell Road. Suite 300, Rockville, MD 20850 | 2019-01-18 |
| 1881168805 | Heather Jean Scurtu Mann | Psychologist | Quince Orchard Psychotherapy, 9707 Key West Avenue, Suite 100, Rockville, MD 20850 | 2019-01-12 |
| 1295208486 | Laura Hanley | Physical Therapy Assistant | The Village At Rockville, Functional Pathways, 9701 Veirs Drive, Rockville, MD 20850 | 2019-01-10 |
| 1538641964 | Shamire Pierre-louis | Speech-Language Pathologist | 2 Research Place, Rockville, MD 20850 | 2018-09-01 |
| Find all providers in zip 20850 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124662127 | Nicholas Affrunti | Psychologist | 1620 E Jefferson St Apt 327, Rockville, MD 20852-4083 | 2019-11-01 |
| 1881168805 | Heather Jean Scurtu Mann | Psychologist | Quince Orchard Psychotherapy, 9707 Key West Avenue, Suite 100, Rockville, MD 20850 | 2019-01-12 |
| 1346715919 | Tiffany Milligan | Psychologist | 212 King Farm Blvd, Rockville, MD 20850-5871 | 2018-10-09 |
| 1487171658 | Candice Watson | Psychologist | 3200 Tower Oaks Blvd Ste 200, Rockville, MD 20852-4265 | 2017-08-28 |
| 1144558016 | Lashaun Annette Williams | Psychologist | 15803 Crabbs Branch Way, Fl 2, Rockville, MD 20855-2842 | 2009-12-03 |
| 1003049677 | Satoko Shibao | Psychologist | 6232 Montrose Rd, Rockville, MD 20852-4119 | 2009-08-31 |
| 1215166343 | Rona Benhorin | Psychologist | 6207 Executive Blvd, Rockville, MD 20852-3906 | 2009-07-10 |
| 1841446747 | Holly Zanville | Psychologist | 4402 Bestor Dr, Rockville, MD 20853-2137 | 2008-08-11 |
| 1023274818 | Montrose View Psychotherapy Associates, LLC | Psychologist | 6339 Executive Blvd., Rockville, MD 20852-3509 | 2008-08-01 |
| 1164606133 | Paula L Ellman | Psychologist | 6420 Danville Court, Rockville, MD 20852 | 2007-12-26 |
| Find all providers in ROCKVILLE | ||||
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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.