Healthcare Provider Details

I. General information

NPI: 1881575785
Provider Name (Legal Business Name): JENNIFER MACLAUGHLIN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/09/2025
Last Update Date: 09/09/2025
Certification Date: 09/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6609 RIGGS RD
CHILLUM MD
20782-1526
US

IV. Provider business mailing address

8908 RIGGS RD
ADELPHI MD
20783-1632
US

V. Phone/Fax

Practice location:
  • Phone: 301-853-5694
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number
License Number StateMD

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: