Active NPI
Kristen G Pinto-Coelho, PHD
- Psychologist
- Ellicott City, MD
National Provider Identifier
1184124117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 05966
- Practice address
- 3355 Saint Johns LN Ste J
Ellicott City, MD 21042-2600 - Phone
- (240) 650-9596
- Fax
- (410) 480-0110
- NPI assigned
- Feb 16, 2018
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 05966 | MD | Primary |
Addresses
Primary practice location
3355 Saint Johns LN Ste J
Ellicott City, MD 21042-2600
Mailing address
20229 Wildcat Run Dr
Estero, FL 33928-2011
Phone (240) 447-7754
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 11, 2020 through Mar 11, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05966 | MD | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752105600000",
"number": "1184124117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20229 WILDCAT RUN DR",
"city": "ESTERO",
"state": "FL",
"postal_code": "339282011",
"telephone_number": "240-447-7754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3355 SAINT JOHNS LN STE J",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210422600",
"telephone_number": "240-650-9596",
"fax_number": "410-480-0110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PINTO-COELHO",
"first_name": "KRISTEN",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-02-16",
"last_updated": "2025-07-10",
"certification_date": "2025-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MD",
"license": "05966",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ellicott City, MD
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- Kristen L Pika, PT, DPT
- Carolina Pimenta, RN, BSN, IBCLC
- Lisa Marie Pishock, CPCP
- Frederick Charles Pitz Jr., CMT
- Pivot Physical Therapy of Central Maryland LLC
- Pivot Physical Therapy of Central Maryland LLC
- Plastic Surgery, P.a.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.