DR. NICOLE THERESE NEWHOUSE PSYD
NPI 1255647939
Psychologist - Clinical in Baltimore, MD

Active since August 19, 2010PECOS Enrolled
84.77/100
CMS Quality Rating
6701 N CHARLES ST, BALTIMORE, MD 21204(800) 735-2258 Get Directions Write a Review

NPPES record last updated: March 7, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 7, 2022, May 10, 2018 (2 updates tracked since 2018).

About Dr. Nicole Therese Newhouse Psyd NPPES

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

DR. NICOLE THERESE NEWHOUSE PSYD (NPI 1255647939) is an individual clinical provider in Baltimore, Maryland, licensed in Maryland (04574) and active in the NPI registry since August 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255647939
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. NICOLE THERESE NEWHOUSECredential: PSYD
Location Address6701 N CHARLES STBaltimore, MD 21204-6808
Mailing Address7600 Osler Dr Ste 402Towson, MD 21204-7703 · (410) 828-0103
Sole ProprietorNo
Enumeration DateAugust 19, 2010
Last NPPES UpdateMarch 7, 20222 updates tracked since enumeration
NPPES CertifiedMarch 7, 2022
✔ NPI 1255647939 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 · 04574
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.
6701 N CHARLES ST, Baltimore, MD 21204

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Nicole Therese Newhouse Psyd 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 Reassignments

2

Medicare enrollment records show Nicole Newhouse reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychiatry
6501 N CHARLES ST
Baltimore, MD 21204
  • Reassigned Medicare billing, Maryland enrollment
  • Medicare enrollment name: Sheppard Pratt Physicians PA
  • 187 clinicians in this Medicare group
Psychiatric Hospital
630 W FAYETTE ST
Baltimore, MD 21201
  • Reassigned Medicare billing, Maryland enrollment
  • 94 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21204 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.77/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality58.96
Promoting Interoperability77
Improvement Activities40
Cost92.79

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.

Physician Assistant
6701 N CHARLES ST, LABOR & DELIVERY
BALTIMORE, MD 21204
Anesthesiology
6701 N CHARLES ST
TOWSON, MD 21204
Internal Medicine (Hospice and Palliative Medicine)
6701 N CHARLES ST, SUITE 4105
BALTIMORE, MD 21204
Anesthesiology
6701 N CHARLES ST
TOWSON, MD 21204
Pathology (Anatomic Pathology & Clinical Pathology)
6701 N CHARLES ST
BALTIMORE, MD 21204
Pediatrics
6701 N CHARLES ST, DEPT OF PEDIATRICS
BALTIMORE, MD 21204
Pathology (Anatomic Pathology & Clinical Pathology)
6701 N CHARLES ST
BALTIMORE, MD 21204
Advanced Practice Midwife
6701 N CHARLES ST, DEPT OF LABOR AND DELIVERY
BALTIMORE, MD 21204

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 Nicole Newhouse's NPI number?

The NPI number for Nicole Newhouse is 1255647939. It was assigned to this individual provider in the NPPES registry on August 19, 2010.

Where is Nicole Newhouse located?

Nicole Newhouse practices at 6701 N Charles St, Baltimore, MD 21204. The listed phone number is (800) 735-2258.

What is Nicole Newhouse's specialty?

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

Is Nicole Newhouse enrolled in Medicare?

Yes. Nicole Newhouse is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Nicole Newhouse's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Newhouse reassigns Medicare benefits to 2 organizations: Sheppard Pratt Physicians, P.A. (Baltimore, MD) and Comptroller Of Maryland Central Payroll Bureau (Baltimore, MD). Each 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 Nicole Newhouse'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 Nicole Newhouse was last updated on March 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.