NPIMap

Organization Active NPI

Crescent Psychiatric Services, P.C.

  • Psychiatry Physician
  • Windsor Mill, MD
National Provider Identifier
1245253673
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
D004814 Issued in MD
Legal business name
CRESCENT PSYCHIATRIC SERVICES, P.C.
Practice address
2124 Riding Crop Way
Windsor Mill, MD 21244-1287
Phone
(443) 474-1010
NPI assigned
Jul 26, 2006
Last updated
Sep 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Authorized official

Name
Mr. Yasin NMN Mansoor, M.D.
Title
Director
Phone
(443) 474-1010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X D004814 MD Primary

Addresses

Primary practice location

2124 Riding Crop Way
Windsor Mill, MD 21244-1287

Mailing address

2124 Riding Crop Way
Windsor Mill, MD 21244-1287
Phone (443) 474-1010

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1245253673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2124 RIDING CROP WAY",
            "city": "WINDSOR MILL",
            "state": "MD",
            "postal_code": "212441287",
            "telephone_number": "443-474-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2124 RIDING CROP WAY",
            "city": "WINDSOR MILL",
            "state": "MD",
            "postal_code": "212441287",
            "telephone_number": "443-474-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESCENT PSYCHIATRIC SERVICES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2023-09-06",
        "status": "A",
        "authorized_official_last_name": "MANSOOR",
        "authorized_official_first_name": "YASIN",
        "authorized_official_middle_name": "NMN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "443-474-1010",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D004814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Windsor Mill, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.