PSYCHOLOGICAL ASSESSMENT, CONSULTATION, AND EVALUATION, LLC
PSYCHOLOGICAL ASSESSMENT, CONSULTATION, AND EVALUATION, LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1063924637, based in Odenton, MD. The organization lists 6 taxonomy classifications, with Clinical Psychologist recorded as primary.
Getting there
The practice address on file is 1214 GREGORY CT, Odenton, MD 21113. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 05015 | MD | Clinical Psychologist primary |
| 05015 | MD | Adult Development & Aging Psychologist |
| 05015 | MD | Cognitive & Behavioral Psychologist |
| 05015 | MD | Clinical Child & Adolescent Psychologist |
| 05015 | MD | Health Psychologist |
| 05015 | MD | Intellectual & Developmental Disabilities… |
This provider holds licence 05015 issued in MD. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
What Clinical covers
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. NUCC Health Care Provider Taxonomy, code 103TC0700X
All registered taxonomy codes
This provider registers 6 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 103TC0700X | Clinical Psychologist Clinical | 05015 | MD | primary |
| 103TA0700X | Adult Development & Aging Psychologist Adult Development & Aging | 05015 | MD | |
| 103TB0200X | Cognitive & Behavioral Psychologist Cognitive & Behavioral | 05015 | MD | |
| 103TC2200X | Clinical Child & Adolescent Psychologist Clinical Child & Adolescent | 05015 | MD | |
| 103TH0004X | Health Psychologist Health | 05015 | MD | |
| 103TM1800X | Intellectual & Developmental Disabilities Psychologist Intellectual & Developmental Disabilities | 05015 | MD |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1063924637 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Nov 3, 2017 |
| Last updated | Nov 3, 2017 |
| Status | Active |
| Practice address |
1214 GREGORY CT Odenton, MD 21113 (443) 698-8326 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 0 | 6 | 3 | 9 | 2 | 4 | 6 | 3 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 0 | 3 | 3 | 9 | 2 | 8 | 6 | 6 |
Sum = 63 · next multiple of 10 = 70 · check digit = 7 · actual last digit = 7
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.