Active NPI
Elizabeth Niemiec, CAGS, NCSP
- School Psychologist
- Baltimore, MD
National Provider Identifier
1346063278
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 1001655139
- Practice address
- 125 N Hilton St
Baltimore, MD 21229-3748 - Phone
- (443) 692-7869
- NPI assigned
- Nov 7, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 1001655139 | MD | Primary |
Addresses
Primary practice location
125 N Hilton St
Baltimore, MD 21229-3748
Mailing address
5603 Fair Oaks Ave
Baltimore, MD 21214-1629
Phone (443) 692-7869
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1001655139 | MD | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730937600000",
"number": "1346063278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5603 FAIR OAKS AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212141629",
"telephone_number": "443-692-7869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 N HILTON ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212293748",
"telephone_number": "443-692-7869"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIEMIEC",
"first_name": "ELIZABETH",
"credential": "CAGS, NCSP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-11-07",
"last_updated": "2024-11-07",
"certification_date": "2024-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "MD",
"license": "1001655139",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.