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STEFANIE M CONSOLLA, PHD LLC
NPI 1083930721
Psychologist - Clinical in Derwood, MD

Active since April 19, 2010
15803 CRABBS BRANCH WAY, 2ND FLOOR, DERWOOD, MD 20855(301) 525-5141 Get Directions Write a Review

NPPES record last updated: May 6, 2015. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Stefanie M Consolla, Phd Llc NPPES

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

STEFANIE M CONSOLLA, PHD LLC (NPI 1083930721) is a healthcare organization registered as a clinical in Derwood, Maryland and active in the NPI registry since April 2010. The organization lists Stefanie Marie Consolla, Clinical Psychologist, as its authorized official.

NPPES Registry Identity

NPI1083930721
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameSTEFANIE M CONSOLLA, PHD LLC
Location Address15803 CRABBS BRANCH WAY, 2ND FLOORDerwood, MD 20855-2842
Mailing Address13927 Falconcrest RdGermantown, MD 20874-2261 · (301) 525-5141
Phone(301) 525-5141
Organization SubpartNo
Authorized OfficialStefanie Marie ConsollaClinical Psychologist · (301) 525-5141
Enumeration DateApril 19, 2010
Last NPPES UpdateMay 6, 2015
✔ NPI 1083930721 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in MD · 04638
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.
15803 CRABBS BRANCH WAY, Derwood, MD 20855
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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)

Stefanie M Consolla, Phd 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 Stefanie M Consolla, Phd LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Stefanie Consolla, PH.D.
Clinical Psychologist
NPI 1588992366
15803 CRABBS BRANCH WAY 2ND FLOOR
Derwood, MD 20855
(301) 525-5141
✔ PECOS✔ Accepts Medicare0.1 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 Stefanie M Consolla, Phd LLC's NPI number?

The NPI number for Stefanie M Consolla, Phd LLC is 1083930721. It was assigned to this organization in the NPPES registry on April 19, 2010.

Where is Stefanie M Consolla, Phd LLC located?

Stefanie M Consolla, Phd LLC is located at 15803 Crabbs Branch Way 2nd Floor, Derwood, MD 20855. The listed phone number is (301) 525-5141.

What is Stefanie M Consolla, Phd LLC's specialty?

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

Is Stefanie M Consolla, Phd LLC enrolled in Medicare?

Yes. Stefanie M Consolla, Phd LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Stefanie M Consolla, Phd LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Stefanie M Consolla, Phd 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 Stefanie M Consolla, Phd LLC was last updated on May 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.