Active NPI
Abner P Pasatiempo, MD, MBA
- Psychiatry Physician
- Catonsville, MD
National Provider Identifier
1164663662
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- D45431
- Practice address
- 55 Wade Ave
Catonsville, MD 21228-4663 - Phone
- (410) 402-6000
- NPI assigned
- Mar 12, 2009
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | D45431 | MD | Primary |
| Addiction Psychiatry Physician | 2084P0802X | D45431 | MD |
Addresses
Primary practice location
55 Wade Ave
Catonsville, MD 21228-4663
Mailing address
115 Enfield Rd
Baltimore, MD 21212-3335
Phone (410) 935-8122
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D45431 | Other | MD | STATE MEDICAL LICENSE |
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Master of Business Administration, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D45431 | MD | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baltimore Washington Medical Center Inc. | Past | Accepting new patients | |
| Comptroller of Maryland Central Payroll Bureau | Past | Accepting new patients | |
| Baltimore County Dept of Health | Psychiatry | Past | Accepting new patients |
| Kilgalen Associates PA | Past | Accepting new patients |
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.
-
- Community/Behavioral Health Agency
- Cockeysville, MD
- NPI 1548315799
Psychiatry
-
- Internal Medicine Physician
- Glen Burnie, MD
- NPI 1831378868
-
- Psychiatric Hospital Unit
- Catonsville, MD
- NPI 1962493403
-
- Clinical Social Worker
- Fallston, MD
- NPI 1861598484
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236816000000",
"number": "1164663662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 ENFIELD RD",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212123335",
"telephone_number": "410-935-8122"
},
{
"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": "410-402-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PASATIEMPO",
"first_name": "ABNER",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "MD, MBA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-03-12",
"last_updated": "2009-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MD",
"license": "D45431",
"primary": true
},
{
"code": "2084P0802X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Psychiatry",
"state": "MD",
"license": "D45431",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE MEDICAL LICENSE",
"identifier": "D45431",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Catonsville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.