Active NPI
Olivia Smith-Elnaggar Mitsos, PSYD, MA
- Clinical Psychologist
- Crofton, MD
National Provider Identifier
1720940513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- A01277
- Practice address
- 2110 Priest Bridge Dr Ste 1
Crofton, MD 21114-2472 - Phone
- (443) 937-7089
- Fax
- (443) 292-4570
- NPI assigned
- Dec 1, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | A01277 | MD | Primary |
Addresses
Primary practice location
2110 Priest Bridge Dr Ste 1
Crofton, MD 21114-2472
Mailing address
2110 Priest Bridge Dr Ste 1
Crofton, MD 21114-2472
Phone (443) 937-7089
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A01277 | MD | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mirror Mental Health | Current | Accepting new patients |
Locations
2110 Priest Bridge Dr
Ste 1
Crofton, MD 21114
Phone (443) 937-7089
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.
-
- Counseling Psychologist
- Crofton, MD
- NPI 1093289985
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1764547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764547200000",
"number": "1720940513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2110 PRIEST BRIDGE DR STE 1",
"city": "CROFTON",
"state": "MD",
"postal_code": "211142472",
"telephone_number": "443-937-7089",
"fax_number": "443-292-4570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2110 PRIEST BRIDGE DR STE 1",
"city": "CROFTON",
"state": "MD",
"postal_code": "211142472",
"telephone_number": "443-937-7089",
"fax_number": "443-292-4570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITSOS",
"first_name": "OLIVIA",
"middle_name": "SMITH-ELNAGGAR",
"credential": "PSYD, MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-12-01",
"last_updated": "2025-12-01",
"certification_date": "2025-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MD",
"license": "A01277",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Crofton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.