Individual provider Active NPI

Tanisha E Drummond, PSY.D.

  • Psychologist
  • Baltimore, MD
National Provider Identifier
1063707024
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
05127 Issued in MD
Practice address
1750 E Fairmount Ave
Baltimore, MD 21231-1534
Phone
(443) 923-9200
NPI assigned
Jun 17, 2011
Last updated
Nov 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 05127 MD Primary

Addresses

Primary practice location

1750 E Fairmount Ave
Baltimore, MD 21231-1534

Mailing address

9613C Harford Rd # 202
Parkville, MD 21234-2103
Phone (410) 417-7474

Other practice location 1

1965 Greenspring Dr
Timonium, MD 21093-4137
Phone (443) 631-8417

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151207000332 MD Practitioner - Clinical Psychologist 3870893340 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
05127MDMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Kennedy Krieger Associates CurrentSince Dec 6, 2023 Accepting new patients
Kennedy Krieger Associates CurrentSince Dec 6, 2023 Accepting new patients
E-S Consulting and Assessment, LLC CurrentSince Feb 18, 2024 Accepting new patients

Locations

1741 Ashland Ave
Ste 642
Baltimore, MD 21205

1750 E Fairmount Ave
Baltimore, MD 21231
Phone (443) 923-4500

707 N Broadway
Baltimore, MD 21205
Phone (443) 923-1870

2324 W Joppa Rd
Ste 130
Lutherville, MD 21093
Phone (240) 994-1817

9613 Harford Rd
Ste C
Parkville, MD 21234
Phone (410) 914-8615

1965 Greenspring Dr
Timonium, MD 21093
Phone (443) 631-8417

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1308268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762128000000",
    "number": "1063707024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9613C HARFORD RD # 202",
            "city": "PARKVILLE",
            "state": "MD",
            "postal_code": "212342103",
            "telephone_number": "410-417-7474",
            "fax_number": "443-546-9887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 E FAIRMOUNT AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212311534",
            "telephone_number": "443-923-9200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1965 Greenspring Dr",
            "address_purpose": "LOCATION",
            "city": "Timonium",
            "state": "MD",
            "postal_code": "210934137",
            "country_code": "US",
            "telephone_number": "443-631-8417",
            "fax_number": "443-546-9887",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DRUMMOND",
        "first_name": "TANISHA",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-17",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MD",
            "license": "05127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.