Individual provider Active NPI

Nicole Marie Gosnell, PHD

  • School Psychologist
  • Ellicott City, MD
National Provider Identifier
1306698923
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
35553 Issued in MD
Practice address
10910 Clarksville Pike
Ellicott City, MD 21042-6106
Phone
(410) 313-6600
NPI assigned
Apr 5, 2024
Last updated
Nov 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 07052 MD
School Psychologist 103TS0200X 35553 MD Primary

Addresses

Primary practice location

10910 Clarksville Pike
Ellicott City, MD 21042-6106

Mailing address

1213 W 41St St
Baltimore, MD 21211-1551
Phone (443) 415-3840

Other practice location 1

9475 Deereco Rd Ste 410
Lutherville Timonium, MD 21093-2124
Phone (410) 560-6135

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)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
07052MDMDPsychologist
35553MDMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Core Counseling Services Co CurrentSince Apr 1, 2024 Accepting new patients
Core Clinical Services CurrentSince Apr 1, 2024 Accepting new patients

Locations

9475 Deereco Rd
Ste 410
Timonium, MD 21093
Phone (410) 560-6135

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": "1712275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762992000000",
    "number": "1306698923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1213 W 41ST ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212111551",
            "telephone_number": "443-415-3840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10910 CLARKSVILLE PIKE",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210426106",
            "telephone_number": "410-313-6600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9475 Deereco Rd Ste 410",
            "address_purpose": "LOCATION",
            "city": "Lutherville Timonium",
            "state": "MD",
            "postal_code": "210932124",
            "country_code": "US",
            "telephone_number": "410-560-6135",
            "fax_number": "410-560-6136",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOSNELL",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-05",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MD",
            "license": "07052",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "MD",
            "license": "35553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellicott City, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.