NPPES file of Aug 9, 2026

William David Petok, PH.D.

Psychologist · Severna Park, MD

William David Petok, PH.D. is a psychologist with a practice address in Severna Park, Maryland, and NPI 1275607764, issued on Nov 17, 2006. Check the license (Maryland 1349, as entered in NPPES) with the Maryland board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1275607764
Name
William David Petok
Credential
PH.D.
Primary taxonomy
Psychologist 103T00000X
License number
1349 MD
Self-reported in NPPES; status is on the state search
Practice location
479 Jumpers Hole RD, Severna Park, MD 21146
Phone
(410) 647-9166
Enumerated
Nov 17, 2006
Record last updated
Jul 8, 2007 (not updated in 19 years: call before relying on the address or phone)
Fax
(410) 647-9174
Medicare enrollment
Enrolled (PECOS I20110209000829); accepts Medicare assignment
Telehealth
Offers telehealth (CMS)
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 479 Jumpers Hole RD

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Marsha Blakeslee, M.D., D.O.Internal Medicine Physician1902925639
  2. Joyce Cooper-Kahn, PH.D.Clinical Psychologist1265556609
  3. Praveen Duggal, MDOtolaryngology Physician1437335973
  4. Michael Kahn, PH.D.Clinical Psychologist1518082866
  5. Jennifer Kelly, PHDPsychologist1861889826
  6. Lee Kleiman, M.D.Facial Plastic Surgery Physician1497783393

Verify William David Petok in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Maryland board licenses this profession
    Search for license 1349
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Maryland license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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William David Petok among 1,183 psychologist records in Maryland

William David Petok, PH.D. is one of 1,183 psychologist records with a practice address in Maryland. 8% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2006, is newer than 2% of them.

  • NPI issued2006 · 2% of these records are older, 80% newer
  • In a Medicare fileNo · 8% of these records are
  • In the CMS Doctors and Clinicians fileYes · 14% of these records are
  • Graduated1978 · median 1999 among the 167 with a school on file
  • Record last updated2007 · 62% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 103T00000X and a Maryland practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

12 psychologist records list a practice address in Severna Park

They are 12 of the 701 NPPES records with a practice address in Severna Park, and 1,183 psychologist records in Maryland. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.

The 8 psychologist records with the nearest ZIP codes

  1. Micala AndersonSeverna Park, MD 211461952133787
  2. Donald Davis, PH.D.Severna Park, MD 211461043385925
  3. John Driscoll, PH.D.Severna Park, MD 211461942250766
  4. Ronald Golkow, PH.D.Severna Park, MD 211461114145729
  5. Jennifer Kelly, PHDSeverna Park, MD 211461861889826
  6. Nancy Moonstarr, PHD & LPCSeverna Park, MD 211461982779674
  7. Donald Orso, PHDSeverna Park, MD 211461396805636
  8. Sandra Rosswork, PH.D.Severna Park, MD 211461982761011

Common questions

What is William David Petok, PH.D.'s NPI number?

William David Petok, PH.D.'s National Provider Identifier (NPI) is 1275607764, issued on Nov 17, 2006. An NPI identifies a provider in billing; it is not a license.

Where is William David Petok, PH.D. located?

The NPPES record lists a practice address at 479 Jumpers Hole RD, Severna Park, MD, 21146. Phone: (410) 647-9166. Providers update this record themselves, so call before visiting.

How can I verify William David Petok, PH.D.'s license?

NPPES lists Maryland license number 1349, as entered by the provider. Search the Maryland board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.