Kristopher T Gebhard

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

06996 Issued in MD

Practice address

3600 Clipper Mill Rd Ste 221
Baltimore, MD 21211-1946

Phone

(443) 320-2313

NPI assigned

Jan 17, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Soul Soil Healing LLC

  • Adult Mental Health Clinic/Center
  • Baltimore, MD
  • NPI 1356056782
  NPD Authorized official

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

{
    "created_epoch": "1642377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1588315964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 CLIPPER MILL RD STE 221",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212111946",
            "telephone_number": "218-280-2750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 CLIPPER MILL RD STE 221",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212111946",
            "telephone_number": "443-320-2313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEBHARD",
        "first_name": "KRISTOPHER",
        "middle_name": "T",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-01-17",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.010702",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "06996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan L Gearhart, M.D.
• Daniel Robert Geary, PA-C
• Meghan Ann Geary, PH.D
• Sharon Geba, C.O.T.A
• Amlakie Digafie Gebeyehu, DNP, CRNA
• Fred C Gebhardt, M.D.
• Wendy Fordyce Gebhardt, APRN
• Lisa Marie Gebicke, DNP
• Kelly Anne Gebo, M.D.
• Mieraf Gebrekidan

• 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 Mar 25, 2026; 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.