Organization Active NPI

Bethany Nagel Therapy

  • Community/Behavioral Health Agency
  • Towson, MD
National Provider Identifier
1073053104
Registry record updated Mar 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
LC6296 Issued in MD
Legal business name
BETHANY NAGEL THERAPY
Practice address
1200 E Joppa Rd
Suite A1
Towson, MD 21286-5810
Phone
(301) 518-6870
NPI assigned
Mar 8, 2017
Last updated
Mar 8, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2017

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

Authorized official

Name
Bethany Nagel
Title
Owner/Clinician
Phone
(301) 518-6870

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X LC6296 MD Primary

Addresses

Primary practice location

1200 E Joppa Rd
Suite A1
Towson, MD 21286-5810

Mailing address

2128 Eastridge Rd
Timonium, MD 21093-3434
Phone (301) 518-6870

National Provider Directory

National Provider Directory

Locations

1200 E Joppa Rd
Ste A1
Towson, MD 21286
Phone (301) 518-6870

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1488931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488931200000",
    "number": "1073053104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2128 EASTRIDGE RD",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210933434",
            "telephone_number": "301-518-6870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 E JOPPA RD",
            "address_2": "SUITE A1",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212865810",
            "telephone_number": "301-518-6870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHANY NAGEL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-08",
        "last_updated": "2017-03-08",
        "status": "A",
        "authorized_official_last_name": "NAGEL",
        "authorized_official_first_name": "BETHANY",
        "authorized_official_title_or_position": "OWNER/CLINICIAN",
        "authorized_official_telephone_number": "301-518-6870"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MD",
            "license": "LC6296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2017; 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.