CORE CLINICAL SERVICES
NPI 1649656943
Psychologist - Clinical in Timonium, MD

Active since August 10, 2015
9475 DEERECO RD, SUITE 410, TIMONIUM, MD 21093(410) 560-6135(410) 560-6136 Get Directions Write a Review

NPPES record last updated: August 8, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 8, 2023, Nov 21, 2017, Apr 26, 2017 and 1 more (4 updates tracked since 2017).

About Core Clinical Services NPPES

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

CORE CLINICAL SERVICES (NPI 1649656943) is a healthcare organization registered as a clinical in Timonium, Maryland and active in the NPI registry since August 2015. The organization lists Marquerite Petranella Laban, Owner, as its authorized official.

NPPES Registry Identity

NPI1649656943
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameCORE CLINICAL SERVICES
Location Address9475 DEERECO RD, SUITE 410Timonium, MD 21093-2118
Mailing Address9475 Deereco Rd, Suite 410Timonium, MD 21093-2118 · (410) 560-6135 · Fax (410) 560-6136
Fax(410) 560-6136
Organization SubpartNo
Authorized OfficialMarquerite Petranella LabanOwner · (410) 371-7187
Enumeration DateAugust 10, 2015
Last NPPES UpdateAugust 8, 20234 updates tracked since enumeration
NPPES CertifiedAugust 8, 2023
✔ NPI 1649656943 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 · 05420
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.
9475 DEERECO RD, Timonium, MD 21093

Other Identifiers 1

Medicaid717002500MD

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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)

Core Clinical 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 Core Clinical Services, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Psychologist
NPI 1659472090
9475 DEERECO RD STE 410
Timonium, MD 21093
(410) 560-6135
✔ 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 Core Clinical Services's NPI number?

The NPI number for Core Clinical Services is 1649656943. It was assigned to this organization in the NPPES registry on August 10, 2015.

Where is Core Clinical Services located?

Core Clinical Services is located at 9475 Deereco Rd Suite 410, Timonium, MD 21093. The listed phone number is (410) 560-6135.

What is Core Clinical Services's specialty?

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

Is Core Clinical Services enrolled in Medicare?

Yes. Core Clinical Services is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Core Clinical Services?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Core Clinical 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 Core Clinical Services was last updated on August 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.