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AEGIS PSYCHOLOGICAL SERVICES
NPI 1396389896
Nurse Practitioner - Psychiatric/Mental Health in Marriottsville, MD

Active since October 29, 2019
2500 WALLINGTON WAY STE 103, MARRIOTTSVILLE, MD 21104(443) 363-0143(410) 946-1357 Get Directions Write a Review

NPPES record last updated: May 19, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 19, 2026, Oct 29, 2019 (2 updates tracked since 2019).

About Aegis Psychological Services NPPES

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

AEGIS PSYCHOLOGICAL SERVICES (NPI 1396389896) is a healthcare organization registered as a psychiatric/mental health in Marriottsville, Maryland and active in the NPI registry since October 2019. The organization lists Rani George, Owner, as its authorized official.

NPPES Registry Identity

NPI1396389896
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameAEGIS PSYCHOLOGICAL SERVICES
Location Address2500 WALLINGTON WAY STE 103Marriottsville, MD 21104-1506
Mailing Address2500 Wallington Way Ste 103Marriottsville, MD 21104-1506 · (443) 363-0143 · Fax (410) 946-1357
Phone(443) 363-0143
Fax(410) 946-1357
Organization SubpartNo
Authorized OfficialRani GeorgeOwner · (443) 363-0143
Enumeration DateOctober 29, 2019
Last NPPES UpdateMay 19, 20262 updates tracked since enumeration
NPPES CertifiedMay 19, 2026
✔ NPI 1396389896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
2500 WALLINGTON WAY STE 103, Marriottsville, MD 21104
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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Aegis Psychological Services 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 Aegis Psychological Services, which bills Medicare for the services this clinician delivers.

Clinician (1)

Rani George, CRNP-PMH
Nurse Practitioner
NPI 1225562937
2500 WALLINGTON WAY STE 103
Marriottsville, MD 21104
(443) 363-0143
✔ PECOS✔ Accepts MedicareSame address

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 Aegis Psychological Services's NPI number?

The NPI number for Aegis Psychological Services is 1396389896. It was assigned to this organization in the NPPES registry on October 29, 2019.

Where is Aegis Psychological Services located?

Aegis Psychological Services is located at 2500 Wallington Way Ste 103, Marriottsville, MD 21104. The listed phone number is (443) 363-0143.

What is Aegis Psychological Services's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Aegis Psychological Services enrolled in Medicare?

Yes. Aegis Psychological Services is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Aegis Psychological Services?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Aegis Psychological Services. 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 Aegis Psychological Services was last updated on May 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.