Active NPI
Thomas Mould
- Psychiatry Physician
- Rockville, MD
National Provider Identifier
1164892121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 1102338
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 043421300 | Medicaid | MD |
National Provider Directory
National Provider DirectoryLocations
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.