Jo Ellyn Pederson, PH.D.
NPI 1184766305ActiveIndividual· Psychologist, Clinical· Lutherville, MD
Psychologist, Clinical (PH.D.) in Lutherville, Maryland, licensed in MD, with an NPI issued in February 2007. Medicare paid $42,978 for services to 22 patients in 2024.
Overview
| NPI | 1184766305 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PH.D. |
| Sole proprietor | Yes |
| NPI issued | Feb 13, 2007 |
| Last updated in NPPES | Jul 1, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | 3937 | MD |
| Psychologist | 103T00000X | 3937 | MD |
| Psychologist, Counseling | 103TC1900X | 3937 | MD |
| Psychologist, Family | 103TF0000X | 3937 | MD |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (MD) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 22 |
|---|---|
| Services billed | 367 across 2 procedure codes |
| Paid by Medicare | $42,978 |
Education and affiliations
| Graduation year | 2002 |
|---|---|
| Medicare specialty | Clinical Psychologist |
| Telehealth | Offers telehealth |
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All 26 clinical psychologists in Lutherville · All clinical psychologists in Maryland