Individual provider Active NPI

Mariellen E North, PHD

  • Clinical Child & Adolescent Psychologist
  • Lutherville, MD
National Provider Identifier
1063426104
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
02149 Issued in MD
Practice address
1407 York Rd
Suite309
Lutherville, MD 21093-6097
Phone
(410) 825-2281
Fax
(410) 825-0757
NPI assigned
Jul 27, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 02149 MD
Adult Development & Aging Psychologist 103TA0700X 02149 MD
Clinical Psychologist 103TC0700X 02149 MD
Clinical Child & Adolescent Psychologist 103TC2200X 02149 MD Primary

Addresses

Primary practice location

1407 York Rd
Suite309
Lutherville, MD 21093-6097

Mailing address

4351 Ten Oaks Rd
Suite309
Dayton, MD 21036-1132
Phone (410) 825-2281

Other names 1

  • Prof. Mariellen E North Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
02149MDMDRehabilitation Chiropractor

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1063426104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4351 TEN OAKS RD",
            "address_2": "SUITE309",
            "city": "DAYTON",
            "state": "MD",
            "postal_code": "210361132",
            "telephone_number": "410-825-2281",
            "fax_number": "410-825-0757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 YORK RD",
            "address_2": "SUITE309",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210936097",
            "telephone_number": "410-825-2281",
            "fax_number": "410-825-0757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORTH",
        "first_name": "MARIELLEN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MD",
            "license": "02149",
            "primary": false
        },
        {
            "code": "103TA0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "MD",
            "license": "02149",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "02149",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "MD",
            "license": "02149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIELLEN",
            "last_name": "NORTH",
            "middle_name": "E",
            "prefix": "PROF.",
            "credential": "PHD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lutherville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.