Active NPI
James B Meredith, PHD
- Psychologist
- Baltimore, MD
National Provider Identifier
1093738262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 01821
- Practice address
- 6310 Harford Rd
Baltimore, MD 21214-1315 - Phone
- (410) 426-6370
- NPI assigned
- Jul 26, 2006
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 01821 | Primary |
Addresses
Primary practice location
6310 Harford Rd
Baltimore, MD 21214-1315
Mailing address
6310 Harford Rd
Baltimore, MD 21214-1315
Phone (410) 426-6370
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040420001253 | MD | Practitioner - Clinical Psychologist | 9335135029 | Practice locations: Baltimore, MD |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1981
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
6310 Harford Rd
Baltimore, MD 21214-1315
Phone (410) 426-6370
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| T Med Behavioral Inc | Past | Accepting new patients | |
| Diagnostic Swallowing Services | Past | Accepting new patients |
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.
-
- Diagnostic Radiology Physician
- Sulphur Springs, TX
- NPI 1750357117
-
- Clinical Psychologist
- Fairfax, VA
- NPI 1497719272
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1093738262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6310 HARFORD RD",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212141315",
"telephone_number": "410-426-6370",
"fax_number": "410-426-3491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6310 HARFORD RD",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212141315",
"telephone_number": "410-426-6370"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEREDITH",
"first_name": "JAMES",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": "01821",
"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 Jul 8, 2007; 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.