Dr Aimee E Mccullough, PSYD - Medicare Psychologist in Columbia, MD

Dr Aimee E Mccullough, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Columbia, Maryland. Her current practice location is 9881 Brokenland Pkwy, 105, Columbia, Maryland. You can reach out to her office (for appointments etc.) via phone at (808) 372-7002.

Dr Aimee E Mccullough is licensed to practice in Maryland (license number 04720) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1003990607.

Contact Information

Dr Aimee E Mccullough, PSYD
9881 Brokenland Pkwy, 105,
Columbia, MD 21046-1172
(808) 372-7002
(808) 372-7002



Healthcare Provider's Profile

Full NameDr Aimee E Mccullough
GenderFemale
SpecialityPsychologist - Clinical
Location9881 Brokenland Pkwy, Columbia, Maryland
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1003990607
  • Provider Enumeration Date: 10/24/2006
  • Last Update Date: 09/12/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 7810093481
  • Enrollment ID: I20070430000048

Medical Identifiers

Medical identifiers for Dr Aimee E Mccullough such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003990607NPI-NPPES
07140002MedicaidHI
0000092858OtherHIHMSA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical PSY461 (Hawaii)Secondary
103TC0700XPsychologist - Clinical 04720 (Maryland)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Aimee E Mccullough is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Aimee E Mccullough, PSYD
3525 Split Rail Ln,
Ellicott City, MD 21042-3832

Ph: (808) 372-7002
Dr Aimee E Mccullough, PSYD
9881 Brokenland Pkwy, 105,
Columbia, MD 21046-1172

Ph: (808) 372-7002

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› Verified 1 days ago


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