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KATHERINE HADLEY CORNELL PSY.D.
NPI 1467736546
Psychologist - Clinical in Baltimore, MD

Active since October 06, 2011Opted out of Medicare · through Apr 1, 2028
711 W 40TH ST STE 206, BALTIMORE, MD 21211(419) 842-6055 Get Directions Write a Review

NPPES record last updated: October 17, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 3, 2022, May 11, 2021 (2 updates tracked since 2021).

About Katherine Hadley Cornell Psy.d. NPPES

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

KATHERINE HADLEY CORNELL PSY.D. (NPI 1467736546) is an individual clinical provider in Baltimore, Maryland, licensed in Maryland (04915) and active in the NPI registry since October 2011. She has opted out of Medicare through April 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1467736546
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameKATHERINE HADLEY CORNELLCredential: PSY.D.
Location Address711 W 40TH ST STE 206Baltimore, MD 21211-2108
Mailing Address711 W 40th St Ste 206Baltimore, MD 21211-2108 · (419) 842-6055
Phone(419) 842-6055
Sole ProprietorYes
Enumeration DateOctober 6, 2011
Last NPPES UpdateOctober 17, 20242 updates tracked since enumeration
NPPES CertifiedOctober 17, 2024
✔ NPI 1467736546 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 · 04915
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.
711 W 40TH ST STE 206, Baltimore, MD 21211
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Katherine Hadley Cornell Psy.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2022 through April 1, 2028.

Opt-Out Effective DateApril 1, 2022
Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21211 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.

Other Providers at the Same Location NPPES 12

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

MATTHEW LUCAS GORDON
Counselor (Mental Health)
711 W 40TH ST STE 206
BALTIMORE, MD 21211
Baltimore City (410) 842-6055
MRS. DESTINY J T HILLIARD-THOMAS LCPC
Counselor (Professional)
711 W 40TH ST STE 206
BALTIMORE, MD 21211
Baltimore City (410) 842-6055
JOSEFINA MUNOZ NOGALES MS
Counselor (Mental Health)
711 W 40TH ST STE 206
BALTIMORE, MD 21211
Baltimore City (410) 842-6055
ANTHONY NEAL MS
Counselor (Mental Health)
711 W 40TH ST STE 206
BALTIMORE, MD 21211
Baltimore City (410) 842-6055
ALICE JOE LGPC
Counselor (Mental Health)
711 W 40TH ST STE 206
BALTIMORE, MD 21211
Baltimore City (410) 842-6055
CHRISTINE ELIZABETH GREEN NP
Nurse Practitioner (Psychiatric/Mental Health)
711 W 40TH ST STE 206
BALTIMORE, MD 21211
Baltimore City (410) 842-6055
B'MORE MENTAL HEALTH AND WELLNESS, LLC
Counselor (Mental Health)
711 W 40TH ST STE 206
BALTIMORE, MD 21211
Baltimore City (410) 842-6055
MEREDITH DUNN NP
Nurse Practitioner (Psychiatric/Mental Health)
711 W 40TH ST STE 206
BALTIMORE, MD 21211
Baltimore City (410) 842-6055

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 Katherine Cornell's NPI number?

The NPI number for Katherine Cornell is 1467736546. It was assigned to this individual provider in the NPPES registry on October 6, 2011.

Where is Katherine Cornell located?

Katherine Cornell practices at 711 W 40th St Ste 206, Baltimore, MD 21211. The listed phone number is (419) 842-6055.

What is Katherine Cornell's specialty?

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

Is Katherine Cornell enrolled in Medicare?

No. Katherine Cornell has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Katherine Cornell was last updated on October 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.