Active NPI
Anson Liu, M.D.
- Psychiatry Physician
- Nottingham, MD
National Provider Identifier
1144529488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- D75850
- Practice address
- 5022 Campbell Blvd Ste L-M
Nottingham, MD 21236-4969 - Phone
- (443) 442-1568
- Fax
- (443) 442-1569
- NPI assigned
- Mar 25, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | D75850 | MD | |
| Psychiatry Physician | 2084P0800X | D75850 | MD | Primary |
Addresses
Primary practice location
5022 Campbell Blvd Ste L-M
Nottingham, MD 21236-4969
Mailing address
828 Dulaney Valley Rd Ste 14
Towson, MD 21204-2822
Phone (210) 373-3770
Other practice location 1
828 Dulaney Valley Rd Ste 14
Towson, MD 21204-2822
Phone (410) 575-4202
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D75850 | MD | MD | Child & Adolescent Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1144529488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "828 DULANEY VALLEY RD STE 14",
"city": "TOWSON",
"state": "MD",
"postal_code": "212042822",
"telephone_number": "210-373-3770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5022 CAMPBELL BLVD STE L-M",
"city": "NOTTINGHAM",
"state": "MD",
"postal_code": "212364969",
"telephone_number": "443-442-1568",
"fax_number": "443-442-1569"
}
],
"practiceLocations": [
{
"address_1": "828 Dulaney Valley Rd Ste 14",
"address_purpose": "LOCATION",
"city": "Towson",
"state": "MD",
"postal_code": "212042822",
"country_code": "US",
"telephone_number": "410-575-4202",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LIU",
"first_name": "ANSON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-03-25",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "MD",
"license": "D75850",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MD",
"license": "D75850",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nottingham, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.