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DR. VENUS SHIRLEY MASSELAM PH.D. NPI 1770622136


NPI Information

NPI: 1770622136
Provider Name: DR. VENUS SHIRLEY MASSELAM, PH.D.
Classification: Psychologist - 103TA0700X
Entity Type: Individual

Specialization: Adult Development & Aging

PECOS Registration: Yes

Address:
8705 BURNING TREE RD
BETHESDA, MD
ZIP 20817
Phone: (301) 365-3948
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DR. Venus Shirley Masselam, PH.D. is an adult development and aging psychologist in Bethesda, MD. The provider is a psychologist who specializes in geropsychology, which applies the knowledge and methods of psychology to understanding and helping older persons and their families to maintain well-being, overcome problems and achieve maximum potential during later life. Professional geropsychology appreciates the wide diversity among older adults, the complex ethical issues that can arise in geriatric practice and the importance of interdisciplinary models of care. DR. Venus Shirley Masselam, PH.D. NPI is 1770622136. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

8705 BURNING TREE RD
BETHESDA, MD
ZIP 20817-054
Phone: (301) 365-3948
Fax: (301) 365-7501

The NPI 1770622136 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 2/5/2007 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TA0700XPsychologistAdult Development & Aging02736MARYLANDYes
2103TB0200XPsychologistCognitive & Behavioral02736MARYLANDX
3103TC1900XPsychologistCounseling02736MARYLANDX
4103TC2200XPsychologistClinical Child & Adolescent02736MARYLANDX
5103TF0000XPsychologistFamily02736MARYLANDX
6103T00000XPsychologist02736MARYLANDX
7103TP2701XPsychologistGroup Psychotherapy02736MARYLANDX

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.