NPIMap

Organization Active NPI

Darryl M Coleman MD PA

  • Psychiatry Physician
  • Baltimore, MD
National Provider Identifier
1104212976
Registry record updated Apr 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
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
Last updated
Apr 8, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2015

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

Authorized official

Name
Darryl M Coleman, M.D.NPI 1164565834
Title
Owner/Psychiatrist
Phone
(410) 744-7076

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

National Provider Directory

National Provider Directory
Tax ID family
Darryl M Coleman MD PA6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

115 N Monroe St
Baltimore, MD 21223
Phone (410) 744-7076

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": "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": [],
    "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.

Verify at the official NPI Registry.