NPIMap

Organization Active NPI

Darryl M Coleman MD PA

  • Clinical Social Worker
  • Baltimore, MD
National Provider Identifier
1003292202
Registry record updated Jan 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
DARRYL M COLEMAN MD PA
Practice address
115 N Monroe St
Baltimore, MD 21223-1641
Phone
(443) 708-4391
Fax
(443) 708-4436
NPI assigned
Aug 11, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Darryl M Coleman, M.D.
Title
Owner/Psychiatrist
Phone
(410) 744-7076

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

115 N Monroe St
Baltimore, MD 21223-1641

Mailing address

6630 Baltimore National Pike Ste 205B
Catonsville, MD 21228-3943
Phone (410) 744-7076

Other identifiers 1

IdentifierTypeStateIssuer
319202400MedicaidMD

National Provider Directory

National Provider Directory
Tax ID family
Darryl M Coleman MD PA6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1439251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453852800000",
    "number": "1003292202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6630 BALTIMORE NATIONAL PIKE STE 205B",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212283943",
            "telephone_number": "410-744-7076",
            "fax_number": "410-744-9563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 N MONROE ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212231641",
            "telephone_number": "443-708-4391",
            "fax_number": "443-708-4436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DARRYL M COLEMAN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-11",
        "last_updated": "2016-01-27",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "DARRYL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/PSYCHIATRIST",
        "authorized_official_telephone_number": "410-744-7076",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "319202400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.