Deidra Pawelczyk

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

444 Magothy Bridge Rd
Pasadena, MD 21122

Phone

(240) 454-4149

NPI assigned

Apr 20, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Deidra Ellen Clark Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1681948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746662400000",
    "number": "1821785718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 MAGOTHY BRIDGE RD",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "21122",
            "telephone_number": "240-454-4149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 MAGOTHY BRIDGE RD",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "21122",
            "telephone_number": "240-454-4149"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 Tower Oaks Blvd Ste 500",
            "address_purpose": "LOCATION",
            "city": "Rockville",
            "state": "MD",
            "postal_code": "208524377",
            "country_code": "US",
            "telephone_number": "301-444-5001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAWELCZYK",
        "first_name": "DEIDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-20",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEIDRA",
            "last_name": "CLARK",
            "middle_name": "ELLEN",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ami Patel
• Dharmesh Patel
• Hetal Patel, PHARMD
• Patient First Maryland Medical Group PLLC
• Patient First Maryland Medical Group PLLC
• Charles Kirk Payne, BC-HIS, ACA
• PCC LTD
• Randi Pedersen, LMSW
• Brittany Lauren Peed
• Laura Sondo Pefok, PHARMD

• Behavior Technician in Pasadena, MD
• Providers in Pasadena, MD by specialty
• Behavior Technician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.

Verify at the official NPI Registry.