MEDICARE: DEVELOPMENTAL PSYCHOLOGY SERVICES, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist

General Provider Information

NPI Number	:	1942151683
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DEVELOPMENTAL PSYCHOLOGY SERVICES, LLC

Provider Business Mailing Address
First Line	:	12903 DEAN RD
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20906-5138
Country	:	US
Telephone Number	:	301-965-0427
Fax Number	:	240-771-0755

Provider Business Practice Location Address
First Line	:	11303 AMHERST AVE STE 1
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20902-4600
Country	:	US
Telephone Number	:	301-965-0427
Fax Number	:	240-771-0755

Authorized Official
Title or Position	:	LICENSED PSYCHOLOGIST
Name	:	DR. KENNETH REIMER
Credential	:	PSY.D
Telephone Number	:	301-965-0427

Provider Enumeration Date	:	02/09/2026
Last Update Date	:	02/09/2026

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