Individual provider Active NPI

Jeffrey David Gary, PHD

  • Psychologist
  • Reisterstown, MD
National Provider Identifier
1023100088
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
02942 Issued in MD
Practice address
100 Owings Court
Ste 8
Reisterstown, MD 21136
Phone
(410) 526-7100
Fax
(410) 526-7138
NPI assigned
Sep 28, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 02942 MD Primary

Addresses

Primary practice location

100 Owings Court
Ste 8
Reisterstown, MD 21136

Mailing address

10400 Ridgland Road
Ste 1
Cockeysville, MD 21030
Phone (410) 628-6120

Other identifiers 3

IdentifierTypeStateIssuer
183001OtherCOMPSYCH
60876101OtherCAREFIRST MD
R5830005OtherCAREFIRST GHMSL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140414001387 MD Practitioner - Clinical Psychologist 1456583046 Reassigns benefits to 1 organization
I20170928000189 DC Practitioner - Clinical Psychologist 1456583046 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Della Behavioral Health ServicesGroup PAC ID 3971755000, 54 clinicians

Practice addresses (Care Compare)

7067 Columbia Gateway Dr
Suite 180
Columbia, MD 21046-3408

9841 Broken Land Pkwy
Suite 314
Columbia, MD 21046-3078
Phone (410) 929-7225

Merit-based Incentive Payment System (MIPS)

Final score
89.8 of 100Reported as group
Quality
75.8
Improvement activities
40
Cost
77.01

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
02942MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Della Behavioral Health Services Psychologist CurrentSince Mar 4, 2019 Accepting new patients
First Step Inc Past Accepting new patients

Locations

9841 Broken Land Pkwy
Ste 314
Columbia, MD 21046
Phone (410) 929-7225

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023100088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10400 RIDGLAND ROAD",
            "address_2": "STE 1",
            "city": "COCKEYSVILLE",
            "state": "MD",
            "postal_code": "21030",
            "telephone_number": "410-628-6120",
            "fax_number": "410-628-9825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 OWINGS COURT",
            "address_2": "STE 8",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "21136",
            "telephone_number": "410-526-7100",
            "fax_number": "410-526-7138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARY",
        "first_name": "JEFFREY",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MD",
            "license": "02942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMPSYCH",
            "identifier": "183001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST MD",
            "identifier": "60876101",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST GHMSL",
            "identifier": "R5830005",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reisterstown, MD

Sources for this page

Verify at the official NPI Registry.