Individual provider Active NPI

Beverli B Mormile, PSY.D.

  • Forensic Psychologist
  • Baltimore, MD
National Provider Identifier
1801152954
Registry record updated Nov 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Forensic PsychologistTaxonomy code 103TF0200X
License
05046 Issued in MD
Practice address
10 South St Ste 303
Baltimore, MD 21202-3288
Phone
(443) 743-0103
NPI assigned
Apr 3, 2012
Last updated
Nov 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Forensic Psychologist 103TF0200X 05046 MD Primary

Addresses

Primary practice location

10 South St Ste 303
Baltimore, MD 21202-3288

Mailing address

5707 Calverton St Ste 1D
Catonsville, MD 21228-1780
Phone (443) 743-0103

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20120724000703 MD Practitioner - Clinical Psychologist 0749446490 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Total Psych CaresGroup PAC ID 6103343322, 2 clinicians

Practice addresses (Care Compare)

10 S St
Suite 303
Baltimore, MD 21202-3288
Phone (443) 251-2100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Total Psych Cares CurrentSince Mar 17, 2025 Accepting new patients
Total Psych Cares CurrentSince Nov 17, 2024 Accepting new patients
Psychexperts & Associates Past Accepting new patients

Locations

10 South St
Ste 303
Baltimore, MD 21202
Phone (410) 429-7111

5707 Calverton St
Ste 1D
Catonsville, MD 21228
Phone (443) 740-2822

Organizations & group practices 4

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": "1333411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1801152954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5707 CALVERTON ST STE 1D",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212281780",
            "telephone_number": "443-743-0103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 SOUTH ST STE 303",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212023288",
            "telephone_number": "443-743-0103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORMILE",
        "first_name": "BEVERLI",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-03",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "MD",
            "license": "05046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.