Individual provider Active NPI

Clinton Jared Lewin, PSYD

  • Psychologist
  • Catonsville, MD
National Provider Identifier
1194245589
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
05951 Issued in MD
Practice address
6400 Baltimore National Pike Ste 170a-168
Catonsville, MD 21228-3930
Phone
(410) 703-6784
Fax
(443) 498-9431
NPI assigned
Jun 27, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Mental Health Counselor 101YM0800X
Psychologist 103T00000X 05951 MD Primary

Addresses

Primary practice location

6400 Baltimore National Pike Ste 170a-168
Catonsville, MD 21228-3930

Mailing address

6400 Baltimore National Pike Ste 170a-168
Catonsville, MD 21228-3930
Phone (410) 703-6784

Other practice location 1

1190 Winterson Rd Ste 160
Linthicum, MD 21090-2245
Phone (410) 684-3806

Other identifiers 1

IdentifierTypeStateIssuer
05951OtherMDLICENSED PSYCHOLOGIST

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

State licenses

LicenseStateTypeSpecialty
05951MDMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Courtney Bianchi, LCSW-C, LLC PastSince Feb 1, 2020 Accepting new patients

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": "1498521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1194245589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 BALTIMORE NATIONAL PIKE STE 170A-168",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212283930",
            "telephone_number": "410-703-6784",
            "fax_number": "443-498-9431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 BALTIMORE NATIONAL PIKE STE 170A-168",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212283930",
            "telephone_number": "410-703-6784",
            "fax_number": "443-498-9431"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1190 Winterson Rd Ste 160",
            "address_purpose": "LOCATION",
            "city": "Linthicum",
            "state": "MD",
            "postal_code": "210902245",
            "country_code": "US",
            "telephone_number": "410-684-3806",
            "fax_number": "410-684-3973",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIN",
        "first_name": "CLINTON",
        "middle_name": "JARED",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-27",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MD",
            "license": "05951",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED PSYCHOLOGIST",
            "identifier": "05951",
            "state": "MD"
        }
    ],
    "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 Aug 18, 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.