IndividualActive
Carly Koenig
NPI 1104782549 · Clinical Psychologist · Jb Andrews, MD
Carly Koenig is a Clinical Psychologist provider in Jb Andrews, MD (NPI 1104782549).
Provider details
- NPI number
- 1104782549
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- PS020645 (PA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1060 W Perimeter Rd
Jb Andrews, MD 20762-6602
Phone: (240) 857-8964
Street-level locationGet directions
Mailing address
8117 Burholme Ave
Philadelphia, PA 19111-1810
Registry dates
- Enumerated
- 2025-12-30
- Last updated
- 2025-12-30
- Certified
- 2025-12-30
Frequently asked questions
- What is Carly Koenig's NPI number?
- Carly Koenig's National Provider Identifier (NPI) is 1104782549, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Carly Koenig's specialty?
- Carly Koenig is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Carly Koenig located?
- Carly Koenig's practice location on file with NPPES is 1060 W Perimeter Rd, Jb Andrews, MD 20762-6602.
- What is Carly Koenig's phone number?
- The practice phone number listed in the NPPES registry for Carly Koenig is (240) 857-8964.
- Is Carly Koenig's NPI active?
- Yes — Carly Koenig's NPI (1104782549) is active in the NPPES registry as of the last update on 2025-12-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.