Jerry Lawler, PHD
NPI 1710076278 · Psychologist · Glen Burnie, MD
Enrolled with Medicare as Practitioner - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jerry Lawler, PHD is a Psychologist provider in Glen Burnie, MD (NPI 1710076278).
Provider details
- NPI number
- 1710076278
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 03765 (MD)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-10-12
- Last updated
- 2018-03-20
Frequently asked questions
- What is Jerry Lawler's NPI number?
- Jerry Lawler's National Provider Identifier (NPI) is 1710076278, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jerry Lawler's specialty?
- Jerry Lawler is listed in the NPPES registry with a primary specialty of Psychologist (Behavioral Health & Social Service Providers).
- Where is Jerry Lawler located?
- Jerry Lawler's practice location on file with NPPES is 30 Greenway St Nw Ste 5, Glen Burnie, MD 21061-3557.
- What is Jerry Lawler's phone number?
- The practice phone number listed in the NPPES registry for Jerry Lawler is (410) 760-9079.
- Does Jerry Lawler accept Medicare?
- Jerry Lawler is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jerry Lawler's NPI active?
- Yes — Jerry Lawler's NPI (1710076278) is active in the NPPES registry as of the last update on 2018-03-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.