Organization Active NPI

Stevenson Psychological Associates LLC

  • Psychologist
  • Elkridge, MD
National Provider Identifier
1033450317
Registry record updated Sep 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
01842 Issued in MD
Legal business name
STEVENSON PSYCHOLOGICAL ASSOCIATES LLC
Practice address
6755 Business Pkwy Ste 401
Elkridge, MD 21075-6749
Phone
(410) 796-4742
Fax
(410) 796-4729
NPI assigned
Mar 11, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Janice Elaine Stevenson, PHDNPI 1497706048
Title
President
Phone
(410) 905-4763

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 01842 MD Primary

Addresses

Primary practice location

6755 Business Pkwy Ste 401
Elkridge, MD 21075-6749

Mailing address

6755 Business Pkwy Ste 401
Elkridge, MD 21075-6749
Phone (410) 905-4763

Other names 1

  • Columbia Mental Health Resources Inc Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141216000176 MD Part B Supplier - Clinic/Group Practice 5193048502 Receives reassigned benefits from 1 practitioner
Practice locations: Elkridge, MD

National Provider Directory

National Provider Directory

Locations

6755 Business Pkwy
Ste 401
Elkridge, MD 21075
Phone (410) 796-4742

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1362960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757203200000",
    "number": "1033450317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6755 BUSINESS PKWY STE 401",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210756749",
            "telephone_number": "410-905-4763",
            "fax_number": "620-298-1808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6755 BUSINESS PKWY STE 401",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210756749",
            "telephone_number": "410-796-4742",
            "fax_number": "410-796-4729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVENSON PSYCHOLOGICAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-11",
        "last_updated": "2025-09-07",
        "certification_date": "2025-09-07",
        "status": "A",
        "authorized_official_last_name": "STEVENSON",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-905-4763",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "MD",
            "license": "01842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Columbia Mental Health Resources Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Elkridge, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.