Individual provider Active NPI

Courtney K Cusack, PSY.D

  • Clinical Psychologist
  • Annapolis, MD
National Provider Identifier
1295982122
Registry record updated May 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
05241 Issued in MD
Practice address
1819 Bay Ridge Ave Ste 190
Annapolis, MD 21403-2834
Phone
(443) 281-9430
Fax
(443) 782-2446
NPI assigned
Aug 21, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2023

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 05241 MD Primary

Addresses

Primary practice location

1819 Bay Ridge Ave Ste 190
Annapolis, MD 21403-2834

Mailing address

1819 Bay Ridge Ave Ste 190
Annapolis, MD 21403-2834
Phone (443) 281-9430

Other names 1

  • Dr. Courtney N Compagnone Former name

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
I20131101001055 MD Practitioner - Clinical Psychologist 3971738733 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Clear View Counseling Center LLCGroup PAC ID 6103138193, 7 clinicians

Practice addresses (Care Compare)

1819 Bay Ridge Ave
Suite 190
Annapolis, MD 21403-2834
Phone (443) 281-9430

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
05241MDMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Clear View Counseling Center, LLC Clinical CurrentSince Aug 1, 2015 Accepting new patients

Locations

1125 West St
Ste 200
Annapolis, MD 21401
Phone (443) 714-7210

1819 Bay Ridge Ave
Ste 190
Annapolis, MD 21403
Phone (443) 231-3690

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": "1219276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684368000000",
    "number": "1295982122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1819 BAY RIDGE AVE STE 190",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214032834",
            "telephone_number": "443-281-9430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1819 BAY RIDGE AVE STE 190",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214032834",
            "telephone_number": "443-281-9430",
            "fax_number": "443-782-2446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUSACK",
        "first_name": "COURTNEY",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-21",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "05241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "COMPAGNONE",
            "middle_name": "N",
            "prefix": "DR.",
            "credential": "PSYD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Annapolis, MD

Sources for this page

Verify at the official NPI Registry.