Individual provider Active NPI

Monica Petroski, PSY.D.

  • Psychologist
  • Columbia, MD
National Provider Identifier
1700252608
Registry record updated Feb 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
06273 Issued in MD
Practice address
7067 Columbia Gateway Dr Ste 180
Columbia, MD 21046-3408
Phone
(443) 896-8753
NPI assigned
Aug 13, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS018650 PA
Psychologist 103T00000X 06273 MD Primary

Addresses

Primary practice location

7067 Columbia Gateway Dr Ste 180
Columbia, MD 21046-3408

Mailing address

PO Box 307
Simpsonville, MD 21150-0307

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Opted out of Medicare
Yes, effective Oct 1, 2026 through Oct 1, 2028

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20191125002675 MD Practitioner - Clinical Psychologist 8325471741 Reassigns benefits to 1 organization
I20210428001132 DC Practitioner - Clinical Psychologist 8325471741 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

7067 Columbia Gateway Dr
Suite 180
Columbia, MD 21046-3408

Merit-based Incentive Payment System (MIPS)

Final score
89.8 of 100Reported as group
Quality
75.8
Improvement activities
40
Cost
77.01

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PS018650PAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Della Behavioral Health Services Psychologist CurrentSince May 3, 2021 Accepting new patients

Locations

9841 Broken Land Pkwy
Ste 314
Columbia, MD 21046
Phone (410) 929-7225

7067 Columbia Gateway Dr
Ste 180
Columbia, MD 21046
Phone (410) 925-7225

1235 Potomac Valley Rd
Rockville, MD 20850
Phone (301) 299-2273

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1439424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675900800000",
    "number": "1700252608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 307",
            "city": "SIMPSONVILLE",
            "state": "MD",
            "postal_code": "211500307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7067 COLUMBIA GATEWAY DR STE 180",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210463408",
            "telephone_number": "443-896-8753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETROSKI",
        "first_name": "MONICA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-13",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS018650",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MD",
            "license": "06273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.