Individual provider Active NPI

Michael Thomas Horan, MD

  • Psychiatry Physician
  • Kensington, MD
National Provider Identifier
1215098728
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
D0031845 Issued in MD
Practice address
10500 Summit Avenue
Kensington, MD 20895-2138
Phone
(301) 897-2376
Fax
(301) 897-2333
NPI assigned
Dec 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X D0031845 MD Primary
Psychiatry Physician 2084P0800X 0101028354 VA

Addresses

Primary practice location

10500 Summit Avenue
Kensington, MD 20895-2138

Mailing address

2101 East Jefferson Street
Ppqa Medicare Compliance Unit 6W Attn Theresa Brooks
Rockville, MD 20852-4908
Phone (301) 816-6660

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040323001720 DC Practitioner - Psychiatry 4789575291 Reassigns benefits to 1 organization
I20120928000035 MD Practitioner - Psychiatry 4789575291 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Creighton University School of Medicine, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Apex Counseling Center, LLCGroup PAC ID 2860458783, 5 clinicians

Practice addresses (Care Compare)

3200 Eastern Ave
Baltimore, MD 21224-4010
Phone (410) 522-1181

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0031845MDMDPsychiatry Physician
0101028354VAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Psychogeriatric Services LLC Psychiatry CurrentSince Jan 16, 2015 Accepting new patients
Apex Counseling Center, LLC CurrentSince Aug 13, 2019 Accepting new patients

Locations

3200 Eastern Ave
Baltimore, MD 21224
Phone (410) 327-1181

4101 Old National Pike
Mount Airy, MD 21771
Phone (301) 829-0800

7902 Belair Rd
Nottingham, MD 21236
Phone (410) 300-8940

12073 Tech Rd
Ste B
Silver Spring, MD 20904
Phone (240) 396-5873

Organizations & group practices 2

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": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215098728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 EAST JEFFERSON STREET",
            "address_2": "PPQA MEDICARE COMPLIANCE UNIT 6W ATTN THERESA BROOKS",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208524908",
            "telephone_number": "301-816-6660",
            "fax_number": "301-816-6308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10500 SUMMIT AVENUE",
            "city": "KENSINGTON",
            "state": "MD",
            "postal_code": "208952138",
            "telephone_number": "301-897-2376",
            "fax_number": "301-897-2333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORAN",
        "first_name": "MICHAEL",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D0031845",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101028354",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kensington, MD

Sources for this page

Verify at the official NPI Registry.