Individual provider Active NPI

Joy Chang, M.D.

  • Addiction Psychiatry Physician
  • Baltimore, MD
National Provider Identifier
1154620540
Registry record updated Jul 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Psychiatry PhysicianTaxonomy code 2084P0802X
License
D0076718 Issued in MD
Practice address
110 S Paca St
4N149
Baltimore, MD 21201-1642
Phone
(410) 328-1834
Fax
(410) 328-1749
NPI assigned
Mar 24, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Psychiatry Physician 2084P0802X D0076718 MD Primary

Addresses

Primary practice location

110 S Paca St
4N149
Baltimore, MD 21201-1642

Mailing address

110 S Paca St
4N149
Baltimore, MD 21201-1642
Phone (410) 328-1834

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20240403001869 DC Practitioner - Psychiatry 7911210851 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Wright State University Boonshoft School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cornerstone Montgomery IncGroup PAC ID 3971591751, 23 clinicians

Practice addresses (Care Compare)

6040 Southport Dr
Bethesda, MD 20814-1848
Phone (301) 493-4200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Montgomery, Inc. CurrentSince Jan 20, 2024 Accepting new patients
Cornerstone Montgomery, Inc. CurrentSince Jan 20, 2024 Accepting new patients
University of Maryland Psychiatry Associates, PA Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

6040 Southport Dr
Bethesda, MD 20814
Phone 3014934200228

2 Taft Ct
Ste 200
Rockville, MD 20850
Phone (301) 715-3673

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1300924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469836800000",
    "number": "1154620540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S PACA ST",
            "address_2": "4N149",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011642",
            "telephone_number": "410-328-1834",
            "fax_number": "410-328-1749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S PACA ST",
            "address_2": "4N149",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011642",
            "telephone_number": "410-328-1834",
            "fax_number": "410-328-1749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "JOY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-24",
        "last_updated": "2016-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "MD",
            "license": "D0076718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.