Individual provider Active NPI

Ariel Nickesha Nickie Davies, PSYD

  • Psychologist
  • Baltimore, MD
National Provider Identifier
1447708292
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
104 Church LN Ste 101
Baltimore, MD 21208-3839
Phone
(410) 343-9756
NPI assigned
Sep 21, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 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

104 Church LN Ste 101
Baltimore, MD 21208-3839

Mailing address

104 Church LN Ste 101
Baltimore, MD 21208-3839
Phone (410) 343-9756

Other identifiers 2

IdentifierTypeStateIssuer
103199990001MedicaidPA
PO1831892OtherPARAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180727000028 MD Practitioner - Clinical Psychologist 5395026884 Reassigns benefits to 1 organization
I20231109000425 DC Practitioner - Clinical Psychologist 5395026884 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psychcare Psychological Services LLCGroup PAC ID 2264660133, 19 clinicians

Practice addresses (Care Compare)

104 Church LN
Suite 101And102
Baltimore, MD 21208-3786
Phone (410) 343-9756

12501 Prosperity Dr
Suite 310
Silver Spring, MD 20904-1699
Phone (410) 343-9756

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
05954MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspan Medical Group CurrentSince Sep 20, 2016 Accepting new patients
Wellspan Medical Group Psychologist CurrentSince Sep 20, 2016 Accepting new patients
Wellspan Medical Group Current Accepting new patients
Psychcare Psychological Services, LLC CurrentSince Jul 16, 2018 Accepting new patients

Locations

104 Church Ln
Ste 101102
Pikesville, MD 21208
Phone (410) 343-9756

104 Church Ln
Ste 101
Pikesville, MD 21208
Phone (410) 343-9756

12501 Prosperity Dr
Ste 310
Silver Spring, MD 20904
Phone (240) 780-8884

6375 Chambersburg Rd
Fayetteville, PA 17222
Phone (717) 352-2721

3550 Concord Rd
York, PA 17402
Phone (717) 851-1546

3421 Concord Rd
York, PA 17402
Phone (717) 851-2441

1600 S George St
York, PA 17403
Phone (717) 848-3615

Organizations & group practices 4

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": "1474416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761523200000",
    "number": "1447708292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 CHURCH LN STE 101",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212083839",
            "telephone_number": "410-343-9756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 CHURCH LN STE 101",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212083839",
            "telephone_number": "410-343-9756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICKIE DAVIES",
        "first_name": "ARIEL",
        "middle_name": "NICKESHA",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-21",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103199990001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "PO1831892",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.