Individual provider Active NPI

Darryl Merriel Coleman, M.D.

  • Psychiatry Physician
  • Catonsville, MD
National Provider Identifier
1164565834
Registry record updated Oct 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
D00046928 Issued in MD
Practice address
6630 Baltimore National Pike
205B
Catonsville, MD 21228-3920
Phone
(410) 744-7076
Fax
(410) 744-9563
NPI assigned
Feb 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X D00046928 MD Primary

Addresses

Primary practice location

6630 Baltimore National Pike
205B
Catonsville, MD 21228-3920

Mailing address

6630 Baltimore National Pike
205B
Catonsville, MD 21228-3920
Phone (410) 744-7076

Other identifiers 1

IdentifierTypeStateIssuer
207531801MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040520000468 MD Practitioner - Psychiatry 4284625039 Practice locations: Catonsville, MD
I20240417002783 DC Practitioner - Psychiatry 4284625039 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Maryland School of Medicine, 1985
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

6630 Baltimore National Pike
Suite 205B
Catonsville, MD 21228-3943
Phone (410) 744-7076

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D00046928MDMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Divine Mercy, Inc. CurrentSince Sep 7, 2024 Accepting new patients
Interdynamics, Inc. Psychiatry CurrentSince Mar 6, 2024 Accepting new patients
Interdynamics, Inc. PastSince Mar 6, 2024 Accepting new patients
Mental Health Solutions Past Accepting new patients
Coleman & Associates Past Accepting new patients

Locations

1721 Pennsylvania Ave
Baltimore, MD 21217
Phone (410) 383-9976

8181 Professional Pl
Ste 200
Landover, MD 20785
Phone (301) 306-4590

Organizations & group practices 5

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": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288051200000",
    "number": "1164565834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6630 BALTIMORE NATIONAL PIKE",
            "address_2": "205B",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212283920",
            "telephone_number": "410-744-7076",
            "fax_number": "410-744-9563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6630 BALTIMORE NATIONAL PIKE",
            "address_2": "205B",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212283920",
            "telephone_number": "410-744-7076",
            "fax_number": "410-744-9563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "DARRYL",
        "middle_name": "MERRIEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-14",
        "last_updated": "2010-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D00046928",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207531801",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Catonsville, MD

Sources for this page

Verify at the official NPI Registry.