Individual provider Active NPI

Denise M Beckett, PHD PA

  • Psychologist
  • Towson, MD
National Provider Identifier
1104873512
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
2312 Issued in MD
Practice address
401 Donegal Dr
Towson, MD 21286-7925
Phone
(410) 608-5983
NPI assigned
May 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 2312 MD Primary

Addresses

Primary practice location

401 Donegal Dr
Towson, MD 21286-7925

Mailing address

401 Donegal Dr
Towson, MD 21286-7925
Phone (410) 608-5983

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
I20061002000169 MD Practitioner - Clinical Psychologist 4486659117 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

401 Donegal Dr
Towson, MD 21286-7925
Phone (410) 608-5983

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2312MDMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Denise M Beckett PHD PA Psychologist CurrentSince Apr 1, 2006 Accepting new patients

Locations

3655A Old Court Rd
Ste 12
Baltimore, MD 21208

3701 Old Court Rd
Ste 17A
Pikesville, MD 21208
Phone (410) 484-3304

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1104873512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 DONEGAL DR",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212867925",
            "telephone_number": "410-608-5983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 DONEGAL DR",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212867925",
            "telephone_number": "410-608-5983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKETT",
        "first_name": "DENISE",
        "middle_name": "M",
        "credential": "PHD PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-30",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MD",
            "license": "2312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

Verify at the official NPI Registry.