Individual provider Active NPI

Donovan Maisel, PSYD

  • Psychologist
  • Annapolis, MD
National Provider Identifier
1134899149
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
06681 Issued in MD
Practice address
810 Bestgate Rd Ste 325
Annapolis, MD 21401-4291
Phone
(443) 906-3506
NPI assigned
Sep 20, 2021
Last updated
Nov 7, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 06681 MD Primary

Addresses

Primary practice location

810 Bestgate Rd Ste 325
Annapolis, MD 21401-4291

Mailing address

810 Bestgate Rd Ste 325
Annapolis, MD 21401-4291
Phone (443) 906-3506

Other names 1

  • Joseph Donovan Maisel Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231102000989 MD Practitioner - Clinical Psychologist 3476909029 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arundel Mental Health Professionals LCGroup PAC ID 4981688173, 118 clinicians

Practice addresses (Care Compare)

810 Bestgate Rd
Suite 325
Annapolis, MD 21401-3648
Phone (443) 906-3506

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
06681MDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Arundel Mental Health Professionals L.C. Clinical CurrentSince Sep 19, 2023 Accepting new patients
Arundel Mental Health Professionals LLC Clinical CurrentSince Sep 19, 2023 Accepting new patients

Locations

810 Bestgate Rd
Ste 325
Annapolis, MD 21401
Phone (443) 906-3500

1511 Ritchie Hwy
Ste 202
Arnold, MD 21012
Phone (410) 757-5184

1662 Village Grn
#B
Crofton, MD 21114

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, 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": "1632096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1134899149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 BESTGATE RD STE 325",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214014291",
            "telephone_number": "443-906-3506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 BESTGATE RD STE 325",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214014291",
            "telephone_number": "443-906-3506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAISEL",
        "first_name": "DONOVAN",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-20",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MD",
            "license": "06681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOSEPH",
            "last_name": "MAISEL",
            "middle_name": "DONOVAN",
            "credential": "PSYD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Annapolis, MD

Sources for this page

Verify at the official NPI Registry.