Active NPI
Aaron David Gresson III, PH.D.
- Clinical Psychologist
- Baltimore, MD
National Provider Identifier
1063719029
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 04900
- Practice address
- 5900 York Rd
Baltimore, MD 21212-3041 - Phone
- (410) 433-7123
- NPI assigned
- Feb 27, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 04900 | MD | Primary |
Addresses
Primary practice location
5900 York Rd
Baltimore, MD 21212-3041
Mailing address
9775 Mill Centre Dr
Apt. 435
Owings Mills, MD 21117-3881
Phone (443) 465-6724
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 Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1298764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338249600000",
"number": "1063719029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9775 MILL CENTRE DR",
"address_2": "APT. 435",
"city": "OWINGS MILLS",
"state": "MD",
"postal_code": "211173881",
"telephone_number": "443-465-6724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5900 YORK RD",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212123041",
"telephone_number": "410-433-7123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRESSON",
"first_name": "AARON",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-02-27",
"last_updated": "2012-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MD",
"license": "04900",
"primary": true
}
],
"identifiers": [],
"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 May 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.