Individual provider Active NPI

Laurie K Pumphrey, PSY.D

  • Psychologist
  • Easton, MD
National Provider Identifier
1447575923
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
501 Dutchmans LN
Easton, MD 21601-3342
Phone
(443) 818-0135
Fax
(301) 609-7284
NPI assigned
Mar 29, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X Primary

Addresses

Primary practice location

501 Dutchmans LN
Easton, MD 21601-3342

Mailing address

PO Box 2924
La Plata, MD 20646-2984
Phone (301) 609-9887

Other practice location 1

1543 Governor Bridge Rd
Davidsonville, MD 21035-1514
Phone (443) 818-0135

Other identifiers 1

IdentifierTypeStateIssuer
589561800MedicaidMD

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
I20200908001893 MD Practitioner - Clinical Psychologist 2769800770 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Supportive Care of Maryland LLCGroup PAC ID 9234460999, 38 clinicians

Practice addresses (Care Compare)

1010 E 33Rd St
Baltimore, MD 21218-3780
Phone 71829843753780

1543 Governor Bridge Rd
Davidsonville, MD 21035-1514
Phone (443) 677-0071

Merit-based Incentive Payment System (MIPS)

Final score
90.29 of 100Reported as group
Quality
73.37
Improvement activities
40
Cost
83.13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
04798MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Supportive Care of Maryland LLC Psychologist CurrentSince Sep 1, 2020 Accepting new patients
Clinical Support Services, LLC Current Accepting new patients
Clinical Support Services, LLC CurrentSince May 21, 2025 Accepting new patients

Locations

5000 Thayer Ctr
Ste C
Oakland, MD 21550
Phone (410) 397-7100

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

Organizations & group practices 3

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": "1269820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1447575923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2924",
            "city": "LA PLATA",
            "state": "MD",
            "postal_code": "206462984",
            "telephone_number": "301-609-9887",
            "fax_number": "301-609-7284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 DUTCHMANS LN",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216013342",
            "telephone_number": "443-818-0135",
            "fax_number": "301-609-7284"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1543 GOVERNOR BRIDGE RD",
            "address_purpose": "LOCATION",
            "city": "DAVIDSONVILLE",
            "state": "MD",
            "postal_code": "210351514",
            "country_code": "US",
            "telephone_number": "443-818-0135",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PUMPHREY",
        "first_name": "LAURIE",
        "middle_name": "K",
        "credential": "PSY.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-29",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "589561800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, MD

Sources for this page

Verify at the official NPI Registry.