DR. BIANCA FETHERSON PH.D.
NPI 1003154691
Psychologist in Lanham, MD

Active since January 17, 2013PECOS Enrolled
7404 EXECUTIVE PL STE 225B, LANHAM, MD 20706(240) 929-4387 Get Directions Write a Review

NPPES record last updated: September 14, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Bianca Fetherson Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BIANCA FETHERSON PH.D. (NPI 1003154691) is an individual psychologist in Lanham, Maryland and active in the NPI registry since January 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003154691
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. BIANCA FETHERSONCredential: PH.D.
Location Address7404 EXECUTIVE PL STE 225BLanham, MD 20706-6205
Mailing Address7404 Executive Pl Ste 225bLanham, MD 20706-6205 · (240) 929-4387
Sole ProprietorYes
Enumeration DateJanuary 17, 2013
Last NPPES UpdateSeptember 14, 2019
NPI 1003154691 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
7404 EXECUTIVE PL STE 225B, Lanham, MD 20706

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Bianca Fetherson Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
7404 EXECUTIVE PL STE 225B
LANHAM, MD 20706
Clinic/Center (Adult Mental Health)
7404 EXECUTIVE PL STE 225B
LANHAM, MD 20706

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bianca Fetherson's NPI number?

The NPI number for Bianca Fetherson is 1003154691. It was assigned to this individual provider in the NPPES registry on January 17, 2013.

Where is Bianca Fetherson located?

Bianca Fetherson practices at 7404 Executive Pl Ste 225B, Lanham, MD 20706. The listed phone number is (240) 929-4387.

What is Bianca Fetherson's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Bianca Fetherson enrolled in Medicare?

Yes. Bianca Fetherson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Bianca Fetherson was last updated on September 14, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.