Healthcare Provider Details

I. General information

NPI: 1407137961
Provider Name (Legal Business Name): FIELDING PSYCHOLOGICAL ASSOCIATES, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2011
Last Update Date: 09/11/2025
Certification Date: 09/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3697 PARK AVE STE 200
ELLICOTT CITY MD
21043-4682
US

IV. Provider business mailing address

3697 PARK AVE STE 200
ELLICOTT CITY MD
21043-4682
US

V. Phone/Fax

Practice location:
  • Phone: 410-868-4143
  • Fax:
Mailing address:
  • Phone: 410-868-4142
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number04442
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number04438
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number04442
License Number StateMD
# 4
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number04438
License Number StateMD
# 5
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number04438
License Number StateMD

VIII. Authorized Official

Name: DR. EVELYN L. P. FIELDING
Title or Position: PRESIDENT
Credential: PH.D.
Phone: 410-868-4142