Individual provider Active NPI

Selima Naimoon Jumarali, PHD

  • Clinical Psychologist
  • Frederick, MD
National Provider Identifier
1962220152
Registry record updated Sep 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
A01062 Issued in MD
Practice address
10 N Jefferson St Ste 202
Frederick, MD 21701-4865
Phone
(240) 750-6467
NPI assigned
Sep 27, 2024
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2024

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 A01062 MD Primary

Addresses

Primary practice location

10 N Jefferson St Ste 202
Frederick, MD 21701-4865

Mailing address

3912 Colborne Rd
Baltimore, MD 21229-1901

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
I20251008004111 MD Practitioner - Clinical Psychologist 1557868288 Reassigns benefits to 2 organizations
I20251008004392 DC Practitioner - Clinical Psychologist 1557868288 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Quince Orchard Psychotherapy LLCGroup PAC ID 5395194302, 30 clinicians

Practice addresses (Care Compare)

10 N Jefferson St
Suite 202
Frederick, MD 21701-4865
Phone (240) 750-6467

9707 Key W Ave
Suite 100
Rockville, MD 20850-3992
Phone (240) 750-6467

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A01062MDMDClinical Psychologist
07549MDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Quince Orchard Psychotherapy LLC Clinical CurrentSince Sep 8, 2025 Accepting new patients
Oasis the Mental Health Center, LLC CurrentSince Nov 1, 2025 Accepting new patients
Selima Jumarali, PHD Clinical PastSince Sep 29, 2024 Accepting new patients
Greater Baltimore Counseling Center, LLC Clinical PastSince Feb 1, 1996 Accepting new patients

Locations

10 N Jefferson St
Ste 202
Frederick, MD 21701
Phone (240) 750-6468

30 Greenway St NW
Ste 5
Glen Burnie, MD 21061
Phone 41076090790

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1727395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727395200000",
    "number": "1962220152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3912 COLBORNE RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212291901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 N JEFFERSON ST STE 202",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217014865",
            "telephone_number": "240-750-6467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUMARALI",
        "first_name": "SELIMA",
        "middle_name": "NAIMOON",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "U",
        "enumeration_date": "2024-09-27",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "A01062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

Verify at the official NPI Registry.