Active NPI
Suni Niranjan Jani, M.D., M.P.H.
- Child & Adolescent Psychiatry Physician
- Columbia, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- D00076608
- Practice address
- 10774 Hickory Ridge Rd
Columbia, MD 21044-3646 - Phone
- (844) 224-5264
- NPI assigned
- May 21, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | D00077608 | MD | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | D00076608 | MD | Primary |
Addresses
Primary practice location
10774 Hickory Ridge Rd
Columbia, MD 21044-3646
Mailing address
10810 Hickory Ridge Rd
Columbia, MD 21044-3622
Phone (410) 707-4135
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Georgetown University School of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
10774 Hickory Ridge Rd
Columbia, MD 21044-3646
Phone (877) 224-5264
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D00077608 | MD | MD | Psychiatry Physician |
| D00076608 | MD | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Behavioral Health, LLC | Current | Accepting new patients |
Locations
426 Dorchester Ave
Cambridge, MD 21613
Phone (410) 228-3929
106 Lee St
Salisbury, MD 21804
809 Eastern Shore Dr
Salisbury, MD 21804
Phone (410) 334-6687
817 Eastern Shore Dr
Salisbury, MD 21804
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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Cambridge, MD
- NPI 1215275466
-
- Community/Behavioral Health Agency
- Salisbury, MD
- NPI 1881208254
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586390400000",
"number": "1053671313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10810 HICKORY RIDGE RD",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210443622",
"telephone_number": "410-707-4135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10774 HICKORY RIDGE RD",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210443646",
"telephone_number": "844-224-5264"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JANI",
"first_name": "SUNI",
"middle_name": "NIRANJAN",
"name_prefix": "Dr.",
"credential": "M.D., M.P.H.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-05-21",
"last_updated": "2020-04-09",
"certification_date": "2020-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MD",
"license": "D00077608",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "MD",
"license": "D00076608",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.