PRIVIA MEDICAL GROUP, LLC
NPI 1366236697
Psychologist in Timonium, MD

Active since April 09, 2025
16 GREENMEADOW DR STE 302, TIMONIUM, MD 21093(443) 449-5604 Get Directions Write a Review

NPPES record last updated: April 27, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 27, 2026, Jan 27, 2026, Apr 9, 2025 (3 updates tracked since 2025).

About Privia Medical Group, Llc NPPES

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

PRIVIA MEDICAL GROUP, LLC (NPI 1366236697) is a healthcare organization registered as a psychologist in Timonium, Maryland and active in the NPI registry since April 2025. The organization lists Brianna Foulkrod, Avp Credentialing & Enrollment, as its authorized official.

NPPES Registry Identity

NPI1366236697
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NamePRIVIA MEDICAL GROUP, LLC
Location Address16 GREENMEADOW DR STE 302Timonium, MD 21093-3200
Mailing Address950 N Glebe Rd Ste 700Arlington, VA 22203-4173 · (800) 973-1442
Organization SubpartNo
Authorized OfficialBrianna FoulkrodAvp Credentialing & Enrollment · (571) 650-2710
Enumeration DateApril 9, 2025
Last NPPES UpdateApril 27, 20263 updates tracked since enumeration
NPPES CertifiedApril 27, 2026
NPI 1366236697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
16 GREENMEADOW DR STE 302, Timonium, MD 21093

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

Other Providers at the Same Location NPPES 4

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

Nurse Practitioner (Psychiatric/Mental Health)
16 GREENMEADOW DR STE 302
TIMONIUM, MD 21093
Marriage & Family Therapist
16 GREENMEADOW DR STE 302
TIMONIUM, MD 21093
Social Worker
16 GREENMEADOW DR STE 302
TIMONIUM, MD 21093
Internal Medicine
16 GREENMEADOW DR STE 302
TIMONIUM, MD 21093

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 Privia Medical Group, LLC's NPI number?

The NPI number for Privia Medical Group, LLC is 1366236697. It was assigned to this organization in the NPPES registry on April 9, 2025.

Where is Privia Medical Group, LLC located?

Privia Medical Group, LLC is located at 16 Greenmeadow Dr Ste 302, Timonium, MD 21093. The listed phone number is (443) 449-5604.

What is Privia Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Privia Medical Group, LLC was last updated on April 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.