DR. STEFANIE ALISON MOYNIHAN KYDES PHD NPI 1235807512

NPI Information

NPI: 1235807512
Provider Name: DR. STEFANIE ALISON MOYNIHAN KYDES, PHD
Classification: Psychologist - 103TC0700X
Specialization: Clinical
Entity Type: Individual
Address: 220 BOWEN CT
ANNAPOLIS, MD
ZIP 21401
Phone: (617) 943-9640

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NPI Details

DR. Stefanie Alison Moynihan Kydes, PHD is a clinical psychologist in Annapolis, MD. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. DR. Stefanie Alison Moynihan Kydes, PHD NPI is 1235807512. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

220 BOWEN CT
ANNAPOLIS, MD
ZIP 21401-945
Phone: (617) 943-9640

The enumeration date for this NPI number is 9/1/2021 and was last updated on 8/25/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103TC0700X	Psychologist	Clinical	07009	MARYLAND	No
2	103TC0700X	Psychologist	Clinical	LP03048	KANSAS	No
3	103TC0700X	Psychologist	Clinical	PY61149309	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	11870	OTHER		ASPPB E.PASSPORT/APIT MOBILITY NUMBER
2	TPPY1243	OTHER	FLORIDA	OUT-OF-STATE TELEHEALTH PROVIDER REGISTRATION

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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