NPIMap

Individual provider Active NPI

David Ifiokabasi Essien, PSYD

  • Psychologist
  • Towson, MD
National Provider Identifier
1194243147
Registry record updated Jan 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
05855 Issued in MD
Practice address
1122 Kenilworth Dr Ste 416
Towson, MD 21204-2148
Phone
(443) 451-5122
NPI assigned
Aug 30, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 05855 MD Primary

Addresses

Primary practice location

1122 Kenilworth Dr Ste 416
Towson, MD 21204-2148

Mailing address

2 Tyler Falls CT Apt a
Baltimore, MD 21209-5218
Phone (914) 819-2987

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
05855MDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Heather Z. Lyons, Licensed Psychologist, LLC CurrentSince Jan 26, 2022 Accepting new patients

Locations

1122 Kenilworth Dr
Ste 416
Towson, MD 21204
Phone (443) 451-5122

Organizations & group practices 1

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": "1504051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642636800000",
    "number": "1194243147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 TYLER FALLS CT APT A",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212095218",
            "telephone_number": "914-819-2987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 KENILWORTH DR STE 416",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212042148",
            "telephone_number": "443-451-5122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESSIEN",
        "first_name": "DAVID",
        "middle_name": "IFIOKABASI",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-30",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MD",
            "license": "05855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; 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.