Katherine Hadley Cornell, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

04915 Issued in MD

Practice address

711 W 40TH St Ste 206
Baltimore, MD 21211-2108

Phone

(419) 842-6055

NPI assigned

Oct 6, 2011

Last updated

Oct 17, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Apr 1, 2022 through Apr 1, 2028

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• B'More Mental Health and Wellness, LLC

  • Mental Health Counselor
  • Baltimore, MD
  • NPI 1487129813

  Clinical

  NPD Authorized official
• B'More Mental Health and Wellness, LLC

  • Physician Assistant
  • Baltimore, MD
  • NPI 1740177294
  NPD Authorized official
• Dustin Sentz LLC

  • Clinical Psychologist
  • Towson, MD
  • NPI 1336647551
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1317859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1467736546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 W 40TH ST STE 206",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212112108",
            "telephone_number": "419-842-6055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 W 40TH ST STE 206",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212112108",
            "telephone_number": "419-842-6055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNELL",
        "first_name": "KATHERINE",
        "middle_name": "HADLEY",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-06",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "04915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Robert Cornachione, CRNP
• Lauren Beth Cornblatt, RD, LDN
• Terri L Cornelison, M.D.
• Bianca Leann Cornelius, DNP, CRNP
• David A Cornell, DNP, ARNP
• Peter Baker Cornell, CRNP
• Tyler Herrick Cornell, CRNP
• Cornerstone Clinic
• Cornerstone Counseling Center
• Cornerstone Health Care Agency, LLC

• Clinical Psychologist in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Clinical Psychologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.