Active NPI
Christopher John Squillaro, D.O.
- Psychiatry Physician
- Towson, MD
National Provider Identifier
1023192283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- H0064716
- Practice address
- 6535 N Charles St
Suite 300
Towson, MD 21204-5826 - Phone
- (410) 938-5252
- NPI assigned
- Oct 24, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | H0064716 | MD | Primary |
Addresses
Primary practice location
6535 N Charles St
Suite 300
Towson, MD 21204-5826
Mailing address
701 W Pratt St
Residency Training Office, 4TH Floor
Baltimore, MD 21201-1023
Phone (410) 936-5304
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H0064716 | MD | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1023192283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 W PRATT ST",
"address_2": "RESIDENCY TRAINING OFFICE, 4TH FLOOR",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212011023",
"telephone_number": "410-936-5304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6535 N CHARLES ST",
"address_2": "SUITE 300",
"city": "TOWSON",
"state": "MD",
"postal_code": "212045826",
"telephone_number": "410-938-5252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SQUILLARO",
"first_name": "CHRISTOPHER",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MD",
"license": "H0064716",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Towson, MD
- Michael Kenneth Spodak, MD
- Sports Physical Therapy of Towson, P.a.
- Springboard Care Services LLC (A Place At Home - Towson)
- Springboard Care Services LLC (A Place At Home - Towson)
- Breanna Sprucebank
- St Paul Place Specialists, Inc.
- St Paul Place Specialists, Inc.
- St. Joseph Pathology Associates, P.a.
- St. Joseph Physician Enterprise
- St. Mary's Multispeciality Physicians
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.