Marquerite Petranella Laban, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

05420 Issued in MD

Practice address

9475 Deereco Rd Ste 410
Timonium, MD 21093-2124

Phone

(410) 560-6135

Fax

(410) 560-6136

NPI assigned

Sep 26, 2006

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

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

Specialty

Clinical Psychologist

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Core Counseling Services CoGroup PAC ID 1153694187, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• Core Counseling Services Co

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Timonium, MD
  • NPI 1164895546
  Medicare reassignment Care Compare group Authorized official
• Core Clinical Services

  • Clinical Psychologist
  • Timonium, MD
  • NPI 1649656943
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1659472090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9475 DEERECO RD STE 410",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210932124",
            "telephone_number": "410-560-6135",
            "fax_number": "410-560-6136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9475 DEERECO RD STE 410",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210932124",
            "telephone_number": "410-560-6135",
            "fax_number": "410-560-6136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABAN",
        "first_name": "MARQUERITE",
        "middle_name": "PETRANELLA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "05420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Kriegsmann, OTR/L
• Bruce Henry Krug, PHARM.D.
• Tamra Kuntz, DNP
• Herbert Arthur Kushner, M.D.
• Jill La Clair
• Laboratoryrx of Maryland, LLC
• Rida Laeeq, MD
• Kathryn Elizabeth Lagna, PA-C
• Regina Lambrinos, PTA
• Dennis James Lambrow, D.D.S.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.