Organization Active NPI

Lakshmi P. Baddela, MD, PC

  • Mental Health Counselor
  • Bel Air, MD
National Provider Identifier
1104393685
Registry record updated Nov 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
LAKSHMI P. BADDELA, MD, PC
Practice address
4 North Ave Ste 303B
Bel Air, MD 21014-2314
Phone
(443) 371-6999
Fax
(443) 371-6998
NPI assigned
Nov 1, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2018

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

Authorized official

Name
Sandra M Little
Title
Office MGR
Phone
(443) 371-6999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

4 North Ave Ste 303B
Bel Air, MD 21014-2314

Mailing address

4 North Ave Ste 303B
Bel Air, MD 21014-2314
Phone (443) 371-6999

Other identifiers 1

IdentifierTypeStateIssuer
2121000-00MedicaidMD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1541030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541030400000",
    "number": "1104393685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 NORTH AVE STE 303B",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210142314",
            "telephone_number": "443-371-6999",
            "fax_number": "443-371-6998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 NORTH AVE STE 303B",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210142314",
            "telephone_number": "443-371-6999",
            "fax_number": "443-371-6998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKSHMI P. BADDELA, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-01",
        "last_updated": "2018-11-01",
        "status": "A",
        "authorized_official_last_name": "LITTLE",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MGR",
        "authorized_official_telephone_number": "443-371-6999"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2121000-00",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bel Air, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2018; 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.