DENISE M BECKETT (PHD PA) – Psychologist, NPI 1104873512

DENISE M BECKETT (PHD PA) is a healthcare provider. based in Towson, Maryland. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PHD PA. They hold a License No. 2312 (MD). The NPI Number for DENISE M BECKETT (PHD PA) is 1104873512

Main info

Female
46 Years Of Experience
Accepts Medicare Assignment
Name
DENISE M BECKETT (PHD PA)
NPI
1104873512
Phone
(410) 608-5983
Address
401 DONEGAL DR
Enumeration Date
30 May 2006
Last Update Date
2 December 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4106085983
Graduation Year
1980 (46 years ago)
PAC ID
4486659117
Professional Enrollment ID
I20061002000169
Address ID
MD212867925TO401XXDRXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

575 CLINICAL PSYCHOLOGIST in MD

Provider Addresses for DENISE M BECKETT (PHD PA)

  • 401 DONEGAL DR

    TOWSON, MD 212867925

    Phone: (410) 608-5983

    Type: Mailing

  • 3655A, Old Court Road, Pikesville, Baltimore County, Maryland, 21208, United States

    #12

    BALTIMORE, MD 212083959

    Phone: (410) 484-3304

    Fax: (410) 484-5788

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-10-02

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20061002000169IClinical PsychologistMDTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 21286)

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Reviews

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Frequently asked questions

Can I cross-check DENISE M BECKETT (PHD PA) using NPI 1104873512?
NPI 1104873512 belongs to DENISE M BECKETT (PHD PA); compare other details if you need extra assurance.
Is DENISE M BECKETT (PHD PA) still an active registrant?
DENISE M BECKETT (PHD PA) carries an active NPI according to the public dataset.
What area of care is associated with DENISE M BECKETT (PHD PA)?
DENISE M BECKETT (PHD PA)'s record emphasizes Psychologist. Clinical services aligned with this taxonomy classification.
Is DENISE M BECKETT (PHD PA) located near Towson?
DENISE M BECKETT (PHD PA) currently maps to Towson, Maryland in this extract.
When was this NPI issued?
Enumeration for DENISE M BECKETT (PHD PA) is noted as May 30, 2006 where the registry provides it.

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