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MARYLAND ONCOLOGY HEMATOLOGY, P.A.
NPI 1407521412
Psychologist - Clinical in Frederick, MD

Active since August 11, 2021
46B THOMAS JOHNSON DR STE 200, FREDERICK, MD 21702(301) 695-6777(301) 695-4852 Get Directions Write a Review

NPPES record last updated: August 11, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Maryland Oncology Hematology, P.a. NPPES

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

MARYLAND ONCOLOGY HEMATOLOGY, P.A. (NPI 1407521412) is a healthcare organization registered as a clinical in Frederick, Maryland and active in the NPI registry since August 2021. The organization lists Robert Davis, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1407521412
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameMARYLAND ONCOLOGY HEMATOLOGY, P.A.
Location Address46B THOMAS JOHNSON DR STE 200Frederick, MD 21702-4501
Mailing Address11720 Beltsville Dr Ste 300Beltsville, MD 20705-3119
Phone(301) 695-6777
Fax(301) 695-4852
Organization SubpartNo
Authorized OfficialRobert DavisExecutive Director · (202) 909-3301
Enumeration DateAugust 11, 2021
NPPES CertifiedAugust 11, 2021
✔ NPI 1407521412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
46B THOMAS JOHNSON DR STE 200, Frederick, MD 21702
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 21D0932749

Maryland Oncology Hematology · Frederick, MD
Expired · Jul 6, 2026
CLIA Number21D0932749
Laboratory TypePhysician Office
Certificate Effective DateJuly 7, 2024
Certificate Expiration DateJuly 6, 2026
Laboratory DirectorSadaf Taimur
Laboratory Phone(301) 695-6777
Laboratory LocationMaryland Oncology Hematology46b Thomas Johnson Drive, Frederick, MD 21702
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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.

MRS. SADAF TAIMUR MD
Internal Medicine (Hematology & Oncology)
46B THOMAS JOHNSON DR STE 200
FREDERICK, MD 21702
Frederick County (301) 695-6777
KIMBERLY ANNA GROSSNICKLE CRNP
Nurse Practitioner (Family)
46B THOMAS JOHNSON DR STE 200
FREDERICK, MD 21702
Frederick County (301) 695-6777

Frequently Asked Questions

What is MARYLAND ONCOLOGY HEMATOLOGY, P.A.'s NPI number?

The NPI number assigned to this healthcare provider is 1407521412, enumerated as an "organization" on August 11, 2021.

Where is the provider located?

The provider is located at 46B THOMAS JOHNSON DR STE 200 FREDERICK, MD 21702 and the phone number is (301) 695-6777.

What is the provider's specialty?

Psychologist with taxonomy code 103TC0700X and a focus in Clinical.