Individual provider Active NPI

Gary Stone, PH.D.

  • Clinical Psychologist
  • Columbia, MD
National Provider Identifier
1679307573
Registry record updated Sep 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
06349 Issued in MD
Practice address
6325 Woodside CT Ste 350
Columbia, MD 21046-1042
Phone
(410) 910-9669
NPI assigned
Sep 2, 2024
Last updated
Sep 2, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 06349 MD Primary

Addresses

Primary practice location

6325 Woodside CT Ste 350
Columbia, MD 21046-1042

Mailing address

6325 Woodside CT Ste 350
Columbia, MD 21046-1042
Phone (410) 910-9669

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
I20240917000114 MD Practitioner - Clinical Psychologist 1557802634 Reassigns benefits to 1 organization
I20240917000170 DC Practitioner - Clinical Psychologist 1557802634 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
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
06349MDMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Psychcare Psychological Services, LLC Clinical CurrentSince Sep 1, 2024 Accepting new patients

Locations

6325 Woodside Ct
Ste 350
Columbia, MD 21046
Phone 41034397569

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

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

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

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1725235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725235200000",
    "number": "1679307573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6325 WOODSIDE CT STE 350",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210461042",
            "telephone_number": "410-910-9669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6325 WOODSIDE CT STE 350",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210461042",
            "telephone_number": "410-910-9669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STONE",
        "first_name": "GARY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-02",
        "last_updated": "2024-09-02",
        "certification_date": "2024-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "06349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.