Active NPI
Gregory Wiatrowski, MA CAS NCSP
- School Psychologist
- Baltimore, MD
National Provider Identifier
1184449167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- CER-65929B1S7P9
- Practice address
- 1600 N Payson St
Baltimore, MD 21217-1121 - Phone
- (410) 396-0776
- NPI assigned
- Nov 15, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | CER-65929B1S7P9 | MD | Primary |
Addresses
Primary practice location
1600 N Payson St
Baltimore, MD 21217-1121
Mailing address
1600 N Payson St
Baltimore, MD 21217-1121
Phone (410) 396-0776
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CER-65929B1S7P9 | MD | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731628800000",
"number": "1184449167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 N PAYSON ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212171121",
"telephone_number": "410-396-0776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 N PAYSON ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212171121",
"telephone_number": "410-396-0776"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIATROWSKI",
"first_name": "GREGORY",
"credential": "MA CAS NCSP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-11-15",
"last_updated": "2024-11-15",
"certification_date": "2024-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "MD",
"license": "CER-65929B1S7P9",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.