Individual provider Active NPI

Laurie Elisabeth Scheidle, PSY.D.

  • Clinical Psychologist
  • Havre de Grace, MD
National Provider Identifier
1801184171
Registry record updated Jul 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
04879 Issued in MD
Practice address
626 Revolution St
Havre de Grace, MD 21078-3320
Phone
(410) 939-8744
NPI assigned
Jul 20, 2011
Last updated
Jul 20, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2011

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 04879 MD Primary

Addresses

Primary practice location

626 Revolution St
Havre de Grace, MD 21078-3320

Mailing address

626 Revolution St
Havre de Grace, MD 21078-3320
Phone (410) 939-8744

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
I20111006000317 MD Practitioner - Clinical Psychologist 4486826849 Reassigns benefits to 3 organizations
I20170914004176 DC Practitioner - Clinical Psychologist 4486826849

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
Arundel Mental Health Professionals LCGroup PAC ID 4981688173, 118 clinicians

Practice addresses (Care Compare)

1511 Ritchie Hwy
Suite 202
Arnold, MD 21012-2410
Phone (410) 757-2077

1662 Village GRN
Crofton, MD 21114-2014
Phone (410) 757-2077

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
04879MDMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Arundel Mental Health Professionals L.C. Clinical CurrentSince Sep 1, 2022 Accepting new patients
Upper Bay Counseling and Support Services, Inc CurrentSince Aug 26, 2011 Accepting new patients
Phoenixpsychologicalservices Inc CurrentSince Jul 1, 2018 Accepting new patients
Upper Bay Counseling & Support Services, Inc. CurrentSince Aug 26, 2011 Accepting new patients

Locations

1511 Ritchie Hwy
Ste 202
Arnold, MD 21012
Phone (410) 757-5184

1662 Village Grn
#B
Crofton, MD 21114

200 Booth St
Elkton, MD 21921
Phone (410) 996-3400

626 Revolution St
Havre de Grace, MD 21078
Phone (410) 939-8744

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.lauriescheidle@149037.advancedmd-direct.com

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": "1311120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311120000000",
    "number": "1801184171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 REVOLUTION ST",
            "city": "HAVRE DE GRACE",
            "state": "MD",
            "postal_code": "210783320",
            "telephone_number": "410-939-8744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 REVOLUTION ST",
            "city": "HAVRE DE GRACE",
            "state": "MD",
            "postal_code": "210783320",
            "telephone_number": "410-939-8744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHEIDLE",
        "first_name": "LAURIE",
        "middle_name": "ELISABETH",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-20",
        "last_updated": "2011-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "04879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Havre de Grace, MD

Sources for this page

Verify at the official NPI Registry.