Jessica Luedke, PhD
Psychologist in Baltimore, MD. Individual provider (NPI-1).
NPI number1609698265
StatusActive
Last updated in NPPESAug 11, 2026
Details
- NPI
- 1609698265
- Entity type
- Individual (NPI-1)
- Name
- Jessica Luedke
- Credential
- PhD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 25, 2024
- Certification date
- Aug 11, 2026
- Last updated
- Aug 11, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PSYCHOLOGIST BILLING INDEPENDENTLY
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | 07500 | MD | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
1800 Orleans StBaltimore, MD 21287-0010
Phone 410-955-5000
Mailing address
6201 Greenleigh AveBaltimore, MD 21220-2004
Phone 410-933-6423
Other practice locations
2 Brookline Pl
Brookline, MA 02445-7230
Brookline, MA 02445-7230
Phone 617-355-6000
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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