Individual provider Active NPI

Kristen Frese Marsico, PHD, NCSP

  • Psychologist
  • Crofton, MD
National Provider Identifier
1821828203
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
06940 Issued in MD
Practice address
2138 Priest Bridge CT Ste 1
Crofton, MD 21114-2463
Phone
(443) 584-6773
NPI assigned
Aug 1, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 06940 MD Primary

Addresses

Primary practice location

2138 Priest Bridge CT Ste 1
Crofton, MD 21114-2463

Mailing address

2138 Priest Bridge CT Ste 1
Crofton, MD 21114-2463

Other practice location 1

10910 Clarksville Pike
Ellicott City, MD 21042-6106
Phone (301) 996-6738

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
06940MDMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1722470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758499200000",
    "number": "1821828203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2138 PRIEST BRIDGE CT STE 1",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211142463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2138 PRIEST BRIDGE CT STE 1",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211142463",
            "telephone_number": "443-584-6773"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10910 Clarksville Pike",
            "address_purpose": "LOCATION",
            "city": "Ellicott City",
            "state": "MD",
            "postal_code": "210426106",
            "country_code": "US",
            "telephone_number": "301-996-6738",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARSICO",
        "first_name": "KRISTEN",
        "middle_name": "FRESE",
        "name_prefix": "Dr.",
        "credential": "PHD, NCSP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-01",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MD",
            "license": "06940",
            "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 Sep 22, 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.