OrganizationActive
Kid'S Neuro
NPI 1396555439 · Pediatric Neurodevelopmental Disabilities Physician · Potomac, MD
Provider details
- NPI number
- 1396555439
- Entity type
- Organization
- Primary specialty
- Pediatric Neurodevelopmental Disabilities PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Joyce Crenshaw, Billing Supervisor(301) 841-7251
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES 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
7912 Declaration Ln
Potomac, MD 20854-3754
Phone: (301) 320-6665
Fax: (301) 273-2773
Street-level locationGet directions
Mailing address
7912 Declaration Ln
Potomac, MD 20854-3754
Registry dates
- Enumerated
- 2025-01-10
- Last updated
- 2025-01-10
- Certified
- 2025-01-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.