Active NPI
Laci Kathleen Radford
- Clinical Psychologist
- Catonsville, MD
National Provider Identifier
1154121606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- LGP16260
- Practice address
- 516 N Rolling Rd Ste 201B
Catonsville, MD 21228-4490 - Phone
- (443) 846-0404
- NPI assigned
- Mar 14, 2025
- Last updated
- Mar 14, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | LGP16260 | MD | Primary |
Addresses
Primary practice location
516 N Rolling Rd Ste 201B
Catonsville, MD 21228-4490
Mailing address
6480 Ducketts LN
Elkridge, MD 21075-6121
Phone (301) 219-3406
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LGP16260 | MD | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741910400000",
"number": "1154121606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6480 DUCKETTS LN",
"city": "ELKRIDGE",
"state": "MD",
"postal_code": "210756121",
"telephone_number": "301-219-3406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "516 N ROLLING RD STE 201B",
"city": "CATONSVILLE",
"state": "MD",
"postal_code": "212284490",
"telephone_number": "443-846-0404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RADFORD",
"first_name": "LACI",
"middle_name": "KATHLEEN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-03-14",
"last_updated": "2025-03-14",
"certification_date": "2025-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MD",
"license": "LGP16260",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Catonsville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.