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DR. KELSEY GNADE COULTHARD PHD
NPI 1124720222
Psychologist - Clinical Child & Adolescent in Baltimore, MD

Active since March 21, 2023PECOS Enrolled
1750 E FAIRMOUNT AVE, BALTIMORE, MD 21231(443) 923-4328 Get Directions Write a Review

NPPES record last updated: September 4, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 4, 2024, Aug 15, 2024, Mar 21, 2023 (3 updates tracked since 2023).

About Dr. Kelsey Gnade Coulthard Phd NPPES

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

DR. KELSEY GNADE COULTHARD PHD (NPI 1124720222) is an individual clinical child & adolescent provider in Baltimore, Maryland, licensed in Maryland (07226) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS and maintains a secondary practice location in Baltimore.

NPPES Registry Identity

NPI1124720222
Entity TypeIndividualFemale
Primary Taxonomy103TC2200X
Provider Legal NameDR. KELSEY GNADE COULTHARDCredential: PHD
Location Address1750 E FAIRMOUNT AVEBaltimore, MD 21231-1534
Mailing Address951 Fell St Apt 406Baltimore, MD 21231-3591 · (843) 437-6673
Phone(443) 923-4328
Sole ProprietorNo
Enumeration DateMarch 21, 2023
Last NPPES UpdateSeptember 4, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 4, 2024
✔ NPI 1124720222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers
Taxonomy Code103TC2200X
License✔ Licensed in MD · 07226
Definition
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.
1750 E FAIRMOUNT AVE, Baltimore, MD 21231
Open in Google Maps ↗

Secondary Practice Location 1

Location 11800 Orleans StBaltimore, MD 21287-0010 · Phone (410) 614-2401

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kelsey Gnade Coulthard Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kelsey Coulthard reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kennedy Krieger Associates
Same address
Multi-Specialty
1750 E FAIRMOUNT AVE
Baltimore, MD 21231
  • Reassigned Medicare billing, Maryland enrollment
  • 352 clinicians in this Medicare group
NPI 1285432237 (443) 923-5900

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

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

YVONNE CARUSO RN
Registered Nurse
1750 E FAIRMOUNT AVE
BALTIMORE, MD 21231
Baltimore City (443) 923-9100
RACHEL HARVEY CCC-SLP
Speech-Language Pathologist
1750 E FAIRMOUNT AVE
BALTIMORE, MD 21231
Baltimore City (443) 478-0706
KAITLIN GOULD
Student in an Organized Health Care Education/Training Program
1750 E FAIRMOUNT AVE
BALTIMORE, MD 21231
Baltimore City (449) 923-4500
DR. TANISHA E DRUMMOND PSY.D.
Psychologist
1750 E FAIRMOUNT AVE
BALTIMORE, MD 21231
Baltimore City (443) 923-9200
MADISON RAYE HOLMES
Clinical Neuropsychologist
1750 E FAIRMOUNT AVE
BALTIMORE, MD 21231
Baltimore City (433) 923-4500
RENEE ORLANDO
Speech-Language Pathologist
1750 E FAIRMOUNT AVE
BALTIMORE, MD 21231
Baltimore City (443) 923-9100
MRS. JENNIFER L PRITCHARD CCC-SLP
Speech-Language Pathologist
1750 E FAIRMOUNT AVE
BALTIMORE, MD 21231
Baltimore City (443) 923-9100
DR. MARIANGELY MELENDEZ GALAN-TORRES PHD
Psychologist (Cognitive & Behavioral)
1750 E FAIRMOUNT AVE
BALTIMORE, MD 21231
Baltimore City (443) 923-7374

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 Kelsey Coulthard's NPI number?

The NPI number for Kelsey Coulthard is 1124720222. It was assigned to this individual provider in the NPPES registry on March 21, 2023.

Where is Kelsey Coulthard located?

Kelsey Coulthard practices at 1750 E Fairmount Ave, Baltimore, MD 21231. The listed phone number is (443) 923-4328.

What is Kelsey Coulthard's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Is Kelsey Coulthard enrolled in Medicare?

Yes. Kelsey Coulthard is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kelsey Coulthard's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelsey Coulthard reassigns Medicare benefits to Kennedy Krieger Associates (Baltimore, MD). The 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 Kelsey Coulthard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kelsey Coulthard was last updated on September 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.