Individual provider Active NPI

Christina Jensema, PSY.D.

  • Clinical Psychologist
  • Bel Air, MD
National Provider Identifier
1215050661
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
04760 Issued in MD
Practice address
900A S Main St
Ste 105
Bel Air, MD 21014-5438
Phone
(410) 939-8744
Fax
(410) 939-8748
NPI assigned
Apr 9, 2007
Last updated
Oct 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 04760 MD Primary

Addresses

Primary practice location

900A S Main St
Ste 105
Bel Air, MD 21014-5438

Mailing address

626 Revolution St
Havre de Grace, MD 21078-3320
Phone (410) 939-8744

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
I20100802000580 MD Practitioner - Clinical Psychologist 4789717471 Reassigns benefits to 1 organization
Practice locations: Bel Air, MD

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Whitesell and Associates IncGroup PAC ID 4385911247, 6 clinicians

Practice addresses (Care Compare)

900 A S Main St
Suite 105
Bel Air, MD 21014-5438
Phone (410) 914-4012

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Whitesell and Associates, Inc Mental Health CurrentSince Apr 18, 2017 Accepting new patients
The Eagles Nest Family and Children Services LLC Past Accepting new patients

Locations

900A S Main St
Unit 105
Bel Air, MD 21014
Phone (410) 914-4012

Organizations & group practices 2

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": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760313600000",
    "number": "1215050661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 REVOLUTION ST",
            "city": "HAVRE DE GRACE",
            "state": "MD",
            "postal_code": "210783320",
            "telephone_number": "410-939-8744",
            "fax_number": "410-939-8748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900A S MAIN ST",
            "address_2": "STE 105",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210145438",
            "telephone_number": "410-939-8744",
            "fax_number": "410-939-8748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEMA",
        "first_name": "CHRISTINA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-09",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "04760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bel Air, MD

Sources for this page

Verify at the official NPI Registry.