MEDICARE: FIELDING PSYCHOLOGICAL ASSOCIATES, P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	04438	MD
2	103TC2200X	Clinical Child & Adolescent Psychologist	04438	MD
3	103T00000X	Psychologist	04438	MD
4	103TC0700X	Clinical Psychologist	04442	MD
5	103T00000X	Psychologist	04442	MD

General Provider Information

NPI Number	:	1407137961
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FIELDING PSYCHOLOGICAL ASSOCIATES, P.C.

Provider Business Mailing Address
First Line	:	3697 PARK AVE STE 200
Second Line	:
City	:	ELLICOTT CITY
State	:	MD
Zip	:	21043-4682
Country	:	US
Telephone Number	:	410-868-4142
Fax Number	:

Provider Business Practice Location Address
First Line	:	3697 PARK AVE STE 200
Second Line	:
City	:	ELLICOTT CITY
State	:	MD
Zip	:	21043-4682
Country	:	US
Telephone Number	:	410-868-4143
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. EVELYN L. P. FIELDING
Credential	:	PH.D.
Telephone Number	:	410-868-4142

Provider Enumeration Date	:	08/29/2011
Last Update Date	:	09/11/2025

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