Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Fontaine Michele Ewell, PHD

Individual provider Clinical Psychologist · NPI 1528123668

Dr. Fontaine Michele Ewell, PHD is a Clinical Psychologist in Baltimore, Maryland. Qualified in 2003, 23 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
23
Licensed in
MD
In the registry since
2006
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

711 W 40th St The Rotunda Ste 456B
Baltimore, MD 21211-2120
Phone: (410) 274-5911
Fax: (410) 235-9339
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 04047 (MD)

Record details

NPI number1528123668
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedDecember 27, 2006
Last updated in NPPESJuly 31, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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