DR. JERRY LAWLER PHD
NPI 1710076278
Psychologist in Glen Burnie, MD

Active since October 12, 2006PECOS Enrolled
30 GREENWAY ST NW STE 5, GLEN BURNIE, MD 21061(410) 760-9079(410) 760-1121 Get Directions Write a Review

NPPES record last updated: March 20, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jerry Lawler Phd NPPES

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

DR. JERRY LAWLER PHD (NPI 1710076278) is an individual psychologist in Glen Burnie, Maryland, licensed in Maryland (03765) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710076278
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. JERRY LAWLERCredential: PHD
Location Address30 GREENWAY ST NW STE 5Glen Burnie, MD 21061-3557
Mailing Address30 Greenway St Nw Ste 5Glen Burnie, MD 21061-3557 · (410) 760-9079 · Fax (410) 760-1121
Fax(410) 760-1121
Sole ProprietorYes
Enumeration DateOctober 12, 2006
Last NPPES UpdateMarch 20, 2018
NPI 1710076278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MD · 03765
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.
30 GREENWAY ST NW STE 5, Glen Burnie, MD 21061

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Jerry Lawler Phd 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.

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.

Counselor (Mental Health)
30 GREENWAY ST NW STE 5
GLEN BURNIE, MD 21061
Psychologist (Clinical)
30 GREENWAY ST NW STE 5
GLEN BURNIE, MD 21061
Social Worker (Clinical)
30 GREENWAY ST NW STE 5
GLEN BURNIE, MD 21061
Social Worker
30 GREENWAY ST NW STE 5
GLEN BURNIE, MD 21061
Counselor (Mental Health)
30 GREENWAY ST NW STE 5
GLEN BURNIE, MD 21061
Psychologist
30 GREENWAY ST NW STE 5
GLEN BURNIE, MD 21061
Social Worker (Clinical)
30 GREENWAY ST NW STE 5
GLEN BURNIE, MD 21061
Social Worker (Clinical)
30 GREENWAY ST NW STE 5
GLEN BURNIE, MD 21061

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 Jerry Lawler's NPI number?

The NPI number for Jerry Lawler is 1710076278. It was assigned to this individual provider in the NPPES registry on October 12, 2006.

Where is Jerry Lawler located?

Jerry Lawler practices at 30 Greenway St NW Ste 5, Glen Burnie, MD 21061. The listed phone number is (410) 760-9079.

What is Jerry Lawler's specialty?

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

Is Jerry Lawler enrolled in Medicare?

Yes. Jerry Lawler is registered in the Medicare PECOS enrollment system.

What insurance does Jerry Lawler accept?

Health plans from Providence Health Plan list Jerry Lawler as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jerry Lawler was last updated on March 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.