Individual provider Active NPI

Jessica Marjorie Peirce, PH.D.

  • Clinical Psychologist
  • Baltimore, MD
National Provider Identifier
1235283334
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
03939 Issued in MD
Practice address
5200 Eastern Ave
Mason F. Lord, 6TH Floor East
Baltimore, MD 21224-2734
Phone
(410) 550-5828
Fax
(410) 550-0060
NPI assigned
Jan 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 03939 MD Primary

Addresses

Primary practice location

5200 Eastern Ave
Mason F. Lord, 6TH Floor East
Baltimore, MD 21224-2734

Mailing address

6532 Seapearl LN
Columbia, MD 21045-4652
Phone (410) 550-5828

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235283334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6532 SEAPEARL LN",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210454652",
            "telephone_number": "410-550-5828",
            "fax_number": "410-550-0060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 EASTERN AVE",
            "address_2": "MASON F. LORD, 6TH FLOOR EAST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212242734",
            "telephone_number": "410-550-5828",
            "fax_number": "410-550-0060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEIRCE",
        "first_name": "JESSICA",
        "middle_name": "MARJORIE",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "03939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.