Individual provider Active NPI

Michelle Janette Pearce, PH.D.

  • Clinical Psychologist
  • Ellicott City, MD
National Provider Identifier
1871740159
Registry record updated Apr 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3584 Issued in NC
Practice address
5045 Dorsey Hall Dr
Suite 105
Ellicott City, MD 21043
Phone
(919) 382-2825
NPI assigned
Aug 19, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health & Wellness Coach 171400000X
Clinical Psychologist 103TC0700X 3584 NC Primary

Addresses

Primary practice location

5045 Dorsey Hall Dr
Suite 105
Ellicott City, MD 21043

Mailing address

Dumc 3026
Durham, NC 27710-0001

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
I20121024000310 MD Practitioner - Clinical Psychologist 2062578461 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Safe Harbor Behavioral Care LLCGroup PAC ID 0345514675, 81 clinicians

Practice addresses (Care Compare)

5054 Dorsey Hall Dr
Suite 105
Ellicott City, MD 21042-7795
Phone (410) 893-4600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
3584NCMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland Family Medicine Associates, P.a. CurrentSince Sep 1, 2012 Accepting new patients
University of Maryland Family Medicine Associates, P.a. Current Accepting new patients
Safe Harbor Behavioral Care, LLC CurrentSince Sep 1, 2018 Accepting new patients
University of Maryland Family Medicine Associates, P.a. CurrentSince Sep 1, 2012 Accepting new patients
Michelle Pearce Wellness Clinical Current Accepting new patients
Safe Harbor Community Services PastSince Jun 1, 2023 Accepting new patients
Safe Harbor Christian Counseling LLC PastSince Aug 7, 2016 Accepting new patients

Locations

2629 Riva Rd
Ste 112
Annapolis, MD 21401
Phone (410) 266-1000

606 Baltimore Ave
Ste 406
Baltimore, MD 21204

1208 E Churchville Rd
Ste 300
Bel Air, MD 21014
Phone (410) 838-9500

1705 Conowingo Rd
Bel Air, MD 21014
Phone (410) 941-0029

16010 Annapolis Rd
Bowie, MD 20715
Phone (301) 809-0160

3060 Mitchellville Rd
Ste 106B
Bowie, MD 20716
Phone (410) 838-9500

5890 Waterloo Rd
Columbia, MD 21045
Phone (410) 328-2603

5054 Dorsey Hall Dr
Ste 105
Ellicott City, MD 21042
Phone (410) 730-0122

2100 Rosemont Ave
Frederick, MD 21702
Phone (301) 662-5500

4603 Eastern Ave
Mount Rainier, MD 20712

8818 Piney Branch Rd
Silver Spring, MD 20903

4821 Saint Barnabas Rd
Temple Hills, MD 20748

2 Post Office Rd
Ste 1A
Waldorf, MD 20602

5430 Campbell Blvd
Ste 211
White Marsh, MD 21162
Phone (410) 838-9500

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617235200000",
    "number": "1871740159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DUMC 3026",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277100001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5045 DORSEY HALL DR",
            "address_2": "SUITE 105",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "21043",
            "telephone_number": "919-382-2825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARCE",
        "first_name": "MICHELLE",
        "middle_name": "JANETTE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-19",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "3584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellicott City, MD

Sources for this page

Verify at the official NPI Registry.