JERRY T. LAWLER PHD PSYCHOLOGIST LLC
NPI 1073449153
Psychologist - Clinical in Ellicott City, MD

Q: What is Jerry T. Lawler Phd Psychologist LLC's NPI number?

The NPI number for Jerry T. Lawler Phd Psychologist LLC is 1073449153. It was assigned to this organization in the NPPES registry on June 18, 2026.

Q: What is Jerry T. Lawler Phd Psychologist LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since June 18, 2026

5054 DORSEY HALL DR STE 105, ELLICOTT CITY, MD 21042(410) 804-1413 Get Directions Write a Review

NPPES record last updated: June 18, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Jerry T. Lawler Phd Psychologist Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JERRY T. LAWLER PHD PSYCHOLOGIST LLC (NPI 1073449153) is a healthcare organization registered as a clinical in Ellicott City, Maryland and active in the NPI registry since June 2026. The organization lists Jerry T. Lawler, Owner, as its authorized official.

NPPES Registry Identity

NPI1073449153

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameJERRY T. LAWLER PHD PSYCHOLOGIST LLC

Location Address5054 DORSEY HALL DR STE 105Ellicott City, MD 21042-7795

Mailing Address109 W Randall StBaltimore, MD 21230-4431 · (410) 804-1413

Phone(410) 804-1413

Organization SubpartNo

Authorized OfficialJerry T. LawlerOwner · (410) 804-1413

Enumeration DateJune 18, 2026

NPPES CertifiedJune 18, 2026

✔ NPI 1073449153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Definition

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.

5054 DORSEY HALL DR STE 105, Ellicott City, MD 21042

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jerry T. Lawler Phd Psychologist Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Jerry T. Lawler Phd Psychologist LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jerry Lawler, PHD

Clinical Psychologist

NPI 1710076278

30 GREENWAY ST NW STE 5
Glen Burnie, MD 21061

(410) 760-9079

✔ PECOS12 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerry T. Lawler Phd Psychologist LLC's NPI number?

The NPI number for Jerry T. Lawler Phd Psychologist LLC is 1073449153. It was assigned to this organization in the NPPES registry on June 18, 2026.

Where is Jerry T. Lawler Phd Psychologist LLC located?

Jerry T. Lawler Phd Psychologist LLC is located at 5054 Dorsey Hall Dr Ste 105, Ellicott City, MD 21042. The listed phone number is (410) 804-1413.

What is Jerry T. Lawler Phd Psychologist LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Jerry T. Lawler Phd Psychologist LLC enrolled in Medicare?

Yes. Jerry T. Lawler Phd Psychologist LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jerry T. Lawler Phd Psychologist LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Jerry T. Lawler Phd Psychologist LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Jerry T. Lawler Phd Psychologist LLC was last updated on June 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.