PSYCH ASSOCIATES OF MARYLAND LLC – Psychologist, NPI 1891721981
Psychologist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for PSYCH ASSOCIATES OF MARYLAND LLC
120, Sister Pierre Drive, Yorkleigh, Towson, Baltimore County, Maryland, 21204, United States
SUITE 403
TOWSON, MD 21204
Phone: (410) 823-6408
Fax: (443) 279-0537
Type: Mailing
1954 GREENSPRING DR STE 530
TIMONIUM, MD 210934192
Phone: (667) 668-2566
Fax: (443) 279-0738
Type: Mailing
1447 YORK RD STE 601
TIMONIUM, MD 210936034
Phone: (410) 823-6408
Fax: (443) 279-0738
Type: Location
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: 2025-06-05
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-09-30 (623 days ago).
Enrollment records
5
Earliest due date
2024-09-30
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20050401000288 | O | Clinic/Group Practice | MD | TBD |
| O20190905000656 | O | Clinic/Group Practice | DC | 2024-09-30 |
| O20221201001040 | O | Clinic/Group Practice | VA | TBD |
| O20230110000321 | O | Clinic/Group Practice | DE | TBD |
| O20250605000167 | O | Clinic/Group Practice | WV | TBD |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
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 21204)
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