Active NPI
Darryl M Coleman MD PA
- Psychiatry Physician
- Baltimore, MD
National Provider Identifier
1104212976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- DARRYL M COLEMAN MD PA
- Practice address
- 115 N Monroe St
Baltimore, MD 21223-1641 - Phone
- (443) 708-4391
- Fax
- (443) 708-4436
- NPI assigned
- Apr 8, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Darryl M Coleman, M.D.
- Title
- Owner/Psychiatrist
- Phone
- (410) 744-7076
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | Primary |
Addresses
Primary practice location
115 N Monroe St
Baltimore, MD 21223-1641
Mailing address
6630 Baltimore National Pike Ste 205B
Catonsville, MD 21228-3943
Phone (410) 744-7076
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 731901100 | Medicaid | MD |
National Provider Directory
National Provider Directory- Tax ID family
- Darryl M Coleman MD PA
Other organizations with this tax ID 5
Organizations that report the same tax identification number in the National Provider Directory.
-
- Behavior Analyst
- Catonsville, MD
- NPI 1528368446
-
- Clinical Social Worker
- Baltimore, MD
- NPI 1003292202
-
- Clinical Social Worker
- Catonsville, MD
- NPI 1356765432
-
- Clinical Social Worker
- Baltimore, MD
- NPI 1720475726
-
- Psychiatry Physician
- Baltimore, MD
- NPI 1881080653
Locations
115 N Monroe St
Baltimore, MD 21223
Phone (410) 744-7076
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428451200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1428451200000",
"number": "1104212976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6630 BALTIMORE NATIONAL PIKE STE 205B",
"city": "CATONSVILLE",
"state": "MD",
"postal_code": "212283943",
"telephone_number": "410-744-7076",
"fax_number": "410-744-9563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 N MONROE ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212231641",
"telephone_number": "443-708-4391",
"fax_number": "443-708-4436"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DARRYL M COLEMAN MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2015-04-08",
"last_updated": "2015-04-08",
"status": "A",
"authorized_official_last_name": "COLEMAN",
"authorized_official_first_name": "DARRYL",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER/PSYCHIATRIST",
"authorized_official_telephone_number": "410-744-7076",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "731901100",
"state": "MD"
}
],
"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 Apr 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.