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DR. JO ELLYN PEDERSON PH.D.
NPI 1184766305
Psychologist - Clinical in Lutherville, MD

Active since February 13, 2007PECOS EnrolledAccepts Medicare Assignment
2360 W JOPPA RD STE 216, LUTHERVILLE, MD 21093(410) 271-4244 Get Directions Write a Review

NPPES record last updated: July 1, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jo Ellyn Pederson Ph.d. NPPES

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

DR. JO ELLYN PEDERSON PH.D. (NPI 1184766305) is an individual clinical provider in Lutherville, Maryland, licensed in Maryland (3937) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in Towson, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1184766305
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. JO ELLYN PEDERSONCredential: PH.D.
Location Address2360 W JOPPA RD STE 216Lutherville, MD 21093
Mailing Address9871 Wilderness LnLaurel, MD 20723-5504 · (410) 271-4244
Phone(410) 271-4244
Sole ProprietorYes
Medical School CMSOtherGraduated 2002
Enumeration DateFebruary 13, 2007
Last NPPES UpdateJuly 1, 2018
✔ NPI 1184766305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in MD · 3937
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.
Also ListedPsychologistTaxonomy 103T00000X · License 3937 (MD)
Also ListedPsychologist · CounselingTaxonomy 103TC1900X · License 3937 (MD)
Also ListedPsychologist · FamilyTaxonomy 103TF0000X · License 3937 (MD)
2360 W JOPPA RD STE 216, Lutherville, MD 21093
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Secondary Practice Location 1

Location 1660 Kenilworth Dr, Suite 101Towson, MD 21204-2313 · Phone (410) 583-5377 · Fax (410) 583-1127

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jo Ellyn Pederson Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6002008588
PECOS Enrollment IDI20140529000323
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
366 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21093 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$183.44 typical visit price
range $60.73 – $183.44
Typical copayment $45.86 (range $15.18 – $45.86)
Most-billed visit code 99205
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Jo Ellyn Pederson's NPI number?

The NPI number for Jo Ellyn Pederson is 1184766305. It was assigned to this individual provider in the NPPES registry on February 13, 2007.

Where is Jo Ellyn Pederson located?

Jo Ellyn Pederson practices at 2360 W Joppa Rd Ste 216, Lutherville, MD 21093. The listed phone number is (410) 271-4244.

What is Jo Ellyn Pederson's specialty?

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

Is Jo Ellyn Pederson enrolled in Medicare?

Yes. Jo Ellyn Pederson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jo Ellyn Pederson was last updated on July 1, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.