Privia Medical Group, LLC is a Psychologist (organization) practicing in Timonium, Maryland. The National Provider Identifier (NPI) is #1366236697, which was assigned on April 9, 2025, and the registration record was last updated on January 27, 2026. The practitioner's main practice location is at 16 Greenmeadow Dr Ste 302, Timonium, MD 21093-3200; the contact telephone number is 4434495604. The primary taxonomy of Privia Medical Group, LLC is Psychologist (103T00000X). The authorized official for Privia Medical Group, LLC is Brianna Foulkrod (Avp Credentialing & Enrollment).
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.
| NPI | 1366236697 |
| Entity Type | Organization |
| Organization Name | PRIVIA MEDICAL GROUP, LLC |
| Provider Name | PRIVIA MEDICAL GROUP, LLC |
| Practice Address |
16 Greenmeadow Dr Ste 302 Timonium MD 21093-3200 |
| Practice Telephone | 4434495604 |
| Mailing Address |
950 N Glebe Rd Ste 700 Arlington VA 22203-4173 |
| Mailing Telephone | 8009731442 |
| Certification Date | 2026-01-27 |
| Enumeration Date | 2025-04-09 |
| Last Update Date | 2026-01-27 |
| Is Organization Subpart | N |
| Official Name | BRIANNA FOULKROD |
| Official Title | AVP CREDENTIALING & ENROLLMENT |
| Telephone | 5716502710 |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| N | 363LP0808X | Nurse Practitioner | Psychiatric/Mental Health | 193200000X MULTI-SPECIALTY GROUP | ||
| Y | 103T00000X | Psychologist | 193200000X MULTI-SPECIALTY GROUP |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Privia Medical Group, LLC | 7811 Montrose Rd Ste 340, Potomac, MD 20854-3359 | Orthopedic Registered Nurse | 2026-02-05 |
| Privia Medical Group, LLC | 50 W Edmonston Dr Ste 602, Rockville, MD 20852-1216 | Internal Medicine Physician | 2026-01-31 |
| Privia Medical Group, LLC | 11200 Rockville Pike Ste 300, North Bethesda, MD 20852-7101 | Orthoptist | 2026-02-06 |
| Privia Medical Group, LLC | 1701 Clarendon Blvd Ste 120, Arlington, VA 22209-4800 | Orthopedic Registered Nurse | 2026-02-06 |
| Privia Medical Group, LLC | 104 E Broad St Ste A, Falls Church, VA 22046-4501 | Podiatrist | 2026-02-05 |
| Privia Medical Group, LLC | 701 King Farm Blvd, Rockville, MD 20850-6165 | Foot & Ankle Surgery Podiatrist | 2026-02-05 |
| Privia Medical Group, LLC | 1201 Seven Locks Rd Ste 111, Potomac, MD 20854-2957 | 2026-02-05 | |
| Privia Medical Group, LLC | 1119 Rockville Pike, Ste 500, Rockville, MD 20852-3157 | Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2026-02-06 |
| Privia Medical Group, LLC | 11301 Amherst Ave Ste 102, Silver Spring, MD 20902-4665 | Physical Therapist | 2026-02-05 |
| Privia Medical Group, LLC | 1145 19th St Nw Ste 410, Washington, DC 20036-3716 | Orthopedic Registered Nurse | 2026-02-06 |
| Find all providers with the same name | |||
| Code | 103T00000X |
| Taxonomy | Psychologist |
| Classification | Psychologist |
| Grouping | Behavioral Health & Social Service Providers |
| 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. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| Classification | Nurse Practitioner |
| Specialization | Psychiatric/Mental Health |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Definition: Definition to come... |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Heal Psychotherapy Group, LLC | 405 Concord Ave, Belmont, MA 02478-7800 | Psychologist | 2026-02-04 |
| Majd A Jaber | 1300 Tamarack Cir, Florence, KY 41042-8709 | Psychologist | 2026-02-05 |
| Sierra Renee Paup | 509 Olive Way Ste 204, Seattle, WA 98101-1726 | Psychologist | 2026-02-06 |
| Katherine Fergen | 5905 O St, Lincoln, NE 68510-2235 | Psychologist | 2026-02-07 |
| Sulivette Mojica | Carr Num 2 Km 59.0 Bo Florida Fuera, Barceloneta, PR 00617 | Psychologist | 2026-02-05 |
| Sean R Harry | 1260 Kavanaugh Pl, Wauwatosa, WI 53213-2506 | Psychologist | 2026-02-06 |
| Allyson Marie Blackburn | 1660 S Columbian Way, Seattle, WA 98108-1532 | Psychologist | 2026-02-06 |
| Alexis Mattia | 451 Clarkson Ave, Brooklyn, NY 11203-2054 | Psychologist | 2026-02-05 |
| Yasmeen Abdelaal | 300 Veazey Dr, Butner, NC 27509-1668 | Psychologist | 2026-02-05 |
| Bianca Hansford | 196 Sycamore Ln, Dallas, GA 30132-1980 | Psychologist | 2026-02-06 |
| Find all providers with the same taxonomy | |||
| Street Address |
16 GREENMEADOW DR STE 302 |
| City | TIMONIUM |
| State | MD |
| Zip Code | 21093-3200 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Cara Hardinger | 16 Greenmeadow Dr Ste 302, Timonium, MD 21093-3243 | General Practice Registered Nurse | 2025-06-17 |
| Krista Zerby | 16 Greenmeadow Dr Ste 302, Timonium, MD 21093-3243 | Marriage & Family Therapist | 2019-08-26 |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Deon Jarmall Brown I | 16 Greenmeadow Dr Ste G106, Lutherville Timonium, MD 21093-3200 | Addiction (Substance Use Disorder) Counselor | 2007-05-29 |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Holly Brosius Musgrove | 10807 Falls Rd, Suite 200, Lutherville, MD 21093 | Nurse Practitioner | 2012-06-11 |
| David A. Gordon | 1447 York Rd Ste 406, Lutherville, MD 21093 | Urology Physician | 2006-04-10 |
| Lauren Arihood | 9475 Deereco Rd Ste 102, Timonium, MD 21093 | Physical Therapist | 2016-06-22 |
| Mary Pinkard | 1615 Broadway Rd, Lutherville, MD 21093-1508 | Athletic Trainer | 2025-07-10 |
| Kaiser Foundation Health Plan of The Mid Atlantic States, Inc | 2391 Greenspring Drive, Timonium, MD 21093 | Health Maintenance Organization | 2021-10-08 |
| Ta-Ya Lee | 2360 W Joppa Rd Ste 306, Lutherville, MD 21093 | Acupuncturist | 2006-10-11 |
| Yuval Pinto | 10753 Falls Rd, Pavillion II, Lutherville, MD 21093 | Obesity Medicine (Internal Medicine) Physician | 2021-04-06 |
| Gregory Alan Small | 1 Texas Station Court, Suite 210, Timonium, MD 21093 | Internal Medicine Physician | 2008-06-04 |
| Bergand Group | 1300 York Road, Building C, Suite 100, Lutherville, MD 21093 | Substance Abuse Rehabilitation Facility | 2012-04-16 |
| Johns Hopkins Surgery Centers Series | 10755 Falls Road, Pavilion I, Suite 480, Lutherville, MD 21093 | Ambulatory Surgical Clinic/Center | 2022-08-18 |
| Find all providers in the same zip code | |||
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Privia Medical Group Indiana, LLC | 410 Park Pl Ste A, Mishawaka, IN 46545-3557 | Family Medicine Physician | 2006-09-15 |
| Premise Health of West Virginia Medical Medical Corporation | 781 Chestnut Ridge Rd, Morgantown, WV 26505-2730 | Multi-Specialty Clinic/Center | 2015-09-30 |
| Premise Health of West Virginia Medical, Medical Corporation | 3110 Airpark Dr, Owensboro, KY 42301-7706 | Multi-Specialty Clinic/Center | 2021-08-02 |
| Privia Medical Group Indiana, LLC | 2117 W Lexington Ave, Elkhart, IN 46514-1423 | Multi-Specialty Clinic/Center | 2020-01-21 |
| Privia Medical Group Indiana, LLC | 410 Park Pl, Suite B, Mishawaka, IN 46545-3557 | Multi-Specialty Clinic/Center | 2008-04-22 |
| Privia Medical Group Indiana, LLC | 100 N. Elkhart St, Wakarusa, IN 46573 | Family Nurse Practitioner | 2023-06-15 |
| Harvard Medical Faculty Physicians At Beth Israel Deaconess Medical Ce | 330 Brookline Ave, Boston, MA 02215 | Neuroradiology Physician | 2006-06-08 |
| Privia Medical Group Indiana, LLC | 2222 W Lexington Ave, Elkhart, IN 46514-1420 | Ophthalmology Physician | 2015-11-05 |
| Premise Health of West Virginia Medical Medical Corporation | 601 Morris St Ste 203, Charleston, WV 25301-1416 | Multi-Specialty Clinic/Center | 2021-08-03 |
| Privia Medical Group Indiana, LLC | 2222 W Lexington Ave, Suite B, Elkhart, IN 46514-1420 | Multi-Specialty Clinic/Center | 2016-10-18 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |