Individual provider Active NPI

Kaitlyn Sarah Centola, LPA

  • Psychologist
  • Bel Air, MD
National Provider Identifier
1578424495
Registry record updated Nov 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
A01267 Issued in MD
Practice address
139 N Main St Ste 301
Bel Air, MD 21014-8808
Phone
(443) 567-7037
NPI assigned
Nov 20, 2025
Last updated
Nov 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 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 A01267 MD Primary

Addresses

Primary practice location

139 N Main St Ste 301
Bel Air, MD 21014-8808

Mailing address

144 Salina Rd
Sewell, NJ 08080-1600
Phone (856) 631-8233

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

LicenseStateTypeSpecialty
A01267MDMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1763596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763769600000",
    "number": "1578424495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 SALINA RD",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080801600",
            "telephone_number": "856-631-8233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 N MAIN ST STE 301",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210148808",
            "telephone_number": "443-567-7037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CENTOLA",
        "first_name": "KAITLYN",
        "middle_name": "SARAH",
        "credential": "LPA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-20",
        "last_updated": "2025-11-22",
        "certification_date": "2025-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MD",
            "license": "A01267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bel Air, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.