NPIMap

Organization Active NPI

Anxiety and Stress Disorders Institute of Maryland

  • Professional Counselor
  • Towson, MD
National Provider Identifier
1154422731
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
ANXIETY AND STRESS DISORDERS INSTITUTE OF MARYLAND
Practice address
6525 N Charles St
Ste 224
Towson, MD 21204-6872
Phone
(410) 938-8449
Fax
(410) 825-7105
NPI assigned
Sep 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Steve L Shearer, PHD
Title
Co-Director
Phone
(410) 938-8452

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X MD Primary

Addresses

Primary practice location

6525 N Charles St
Ste 224
Towson, MD 21204-6872

Mailing address

6525 N Charles St
Ste 224
Towson, MD 21204-6872
Phone (410) 938-8449

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050125000138 MD Part B Supplier - Clinic/Group Practice 1850341215 Receives reassigned benefits from 8 practitioners
Practice locations: Towson, MD

National Provider Directory

National Provider Directory

Locations

6525 N Charles St
Ste 224
Towson, MD 21204
Phone (410) 938-8449

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1154422731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6525 N CHARLES ST",
            "address_2": "STE 224",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212046872",
            "telephone_number": "410-938-8449",
            "fax_number": "410-825-7105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6525 N CHARLES ST",
            "address_2": "STE 224",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212046872",
            "telephone_number": "410-938-8449",
            "fax_number": "410-825-7105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANXIETY AND STRESS DISORDERS INSTITUTE OF MARYLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SHEARER",
        "authorized_official_first_name": "STEVE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CO-DIRECTOR",
        "authorized_official_telephone_number": "410-938-8452",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.