Individual provider Active NPI

Howard J Faulkner, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Towson, MD
National Provider Identifier
1073864203
Registry record updated Apr 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R176326 Issued in MD
Practice address
828 Dulaney Valley Rd Ste 12
Towson, MD 21204-2822
Phone
(410) 343-9869
NPI assigned
Sep 27, 2012
Last updated
Apr 21, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R176326 MD Primary

Addresses

Primary practice location

828 Dulaney Valley Rd Ste 12
Towson, MD 21204-2822

Mailing address

506 Quaint Acres Dr
Silver Spring, MD 20904-2720

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130128000353 MD Practitioner - Nurse Practitioner 3173777166 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Resilient Psychiatry, LLCGroup PAC ID 1759793441, 8 clinicians

Practice addresses (Care Compare)

1206 York Rd
Suite 201
Lutherville, MD 21093-6217
Phone (410) 343-9869

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R176326MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Resilient Psychiatry, LLC Psychiatric/Mental Health CurrentSince Jun 1, 2023 Accepting new patients

Locations

1206 York Rd
Ste 201
Luthvle Timon, MD 21093
Phone (410) 337-2626

828 Dulaney Valley Rd
Ste 12
Towson, MD 21204
Phone (410) 205-5123

Organizations & group practices 1

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": "1348704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682035200000",
    "number": "1073864203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 QUAINT ACRES DR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209042720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "828 DULANEY VALLEY RD STE 12",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212042822",
            "telephone_number": "410-343-9869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAULKNER",
        "first_name": "HOWARD",
        "middle_name": "J",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-09-27",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R176326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

Verify at the official NPI Registry.