Organization Active NPI

Thomas Mould

  • Psychiatry Physician
  • Rockville, MD
National Provider Identifier
1164892121
Registry record updated Oct 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
1102338 Issued in MD
Legal business name
THOMAS MOULD
Practice address
1 Church St
Suite 206
Rockville, MD 20850-4158
Phone
(240) 314-0692
NPI assigned
Oct 3, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2015

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

Authorized official

Name
Dr. Thomas Mathew Mould, MD
Title
Practioner
Phone
(240) 314-0692

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 1102338 MD Primary

Addresses

Primary practice location

1 Church St
Suite 206
Rockville, MD 20850-4158

Mailing address

1 Church St
Suite 206
Rockville, MD 20850-4158
Phone (240) 314-0692

Other identifiers 1

IdentifierTypeStateIssuer
043421300MedicaidMD

National Provider Directory

National Provider Directory

Locations

1 Church St
Ste 206
Rockville, MD 20850
Phone (240) 314-0692

NPI Registry JSON

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

{
    "created_epoch": "1443830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443830400000",
    "number": "1164892121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CHURCH ST",
            "address_2": "SUITE 206",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208504158",
            "telephone_number": "240-314-0692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CHURCH ST",
            "address_2": "SUITE 206",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208504158",
            "telephone_number": "240-314-0692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS MOULD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-03",
        "last_updated": "2015-10-03",
        "status": "A",
        "authorized_official_last_name": "MOULD",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "MATHEW",
        "authorized_official_title_or_position": "PRACTIONER",
        "authorized_official_telephone_number": "240-314-0692",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "1102338",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "043421300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.