Travis Klein, MD – Forensic Psychiatry Physician

Key facts

NPI: 1235579657
Entity type: Individual (NPI type 1)
Primary specialty: Forensic Psychiatry Physician 2084F0202X
License: D0080225 (MD)
Practice address: 8450 Dorsey Run Rd
Jessup, MD 20794-9486
Phone: (410) 724-3080
NPI assigned: Jun 29, 2013
Sex: Male
Sole proprietor: Yes

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file
Eligible to order & refer: Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Doctor of Medicine

State licenses

License	State	Type	Specialty
D0080225	MD	MD	Forensic Psychiatry Physician

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Forensic Psychiatry Physician	2084F0202X	D0080225	MD	Yes

Addresses

Primary practice location

8450 Dorsey Run Rd
Jessup, MD 20794-9486

Mailing address

7122 Moorland Dr
Clarksville, MD 21029-1735
Phone (954) 562-7962

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 21, 2024.

{
    "created_epoch": "1372464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1235579657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7122 MOORLAND DR",
            "city": "CLARKSVILLE",
            "state": "MD",
            "postal_code": "210291735",
            "telephone_number": "954-562-7962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8450 DORSEY RUN RD",
            "city": "JESSUP",
            "state": "MD",
            "postal_code": "207949486",
            "telephone_number": "410-724-3080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "TRAVIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-29",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084F0202X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "MD",
            "license": "D0080225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jessup, MD

All providers in Jessup, MD · Forensic Psychiatry Physician in Maryland

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 21, 2024. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.