Charles Michael Richardson, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

D0038459 Issued in MD

Practice address

55 Wade Ave
Catonsville, MD 21228-4663

Phone

(410) 402-6871

Fax

(410) 402-6880

NPI assigned

Dec 13, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

70.75 of 100Reported as group

Quality

42.65

Promoting interoperability

51

Improvement activities

40

Cost

84.01

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mosaic Community Services, Inc.

  • Adult Mental Health Clinic/Center
  • Timonium, MD
  • NPI 1265539142
  Medicare reassignment NPD
• Mosaic Community Services, Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Gaithersburg, MD
  • NPI 1710466313
  NPD
• Mosaic Community Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Westminster, MD
  • NPI 1669632147
  NPD

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1154306116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7662 SWEET HOURS WAY",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210462476",
            "telephone_number": "410-381-2752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 WADE AVE",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212284663",
            "telephone_number": "410-402-6871",
            "fax_number": "410-402-6880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "CHARLES",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-13",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D0038459",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "53587000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Restore Life Behavioral Health Services
• Michelle Ina Reynolds, LMT
• Reznride ,LLC
• Rhema Home Health Services LLC
• Richard H. Schreder, PH.D., P.a.
• Ridgeway Manor Inc
• Ridgeway Rehab
• Julie Riffle
• Stephanie Riley
• Donald Kenneth Rinker III

• Psychiatry Physician in Catonsville, MD
• Providers in Catonsville, MD by specialty
• Psychiatry Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.