Individual provider Active NPI

Robert K Kraft, PSY.D

  • Psychologist
  • Owings Mills, MD
National Provider Identifier
1245279538
Registry record updated Apr 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
03546 Issued in MD
Practice address
110 Painters Mill Rd
Ste 23
Owings Mills, MD 21117-4920
Phone
(410) 356-3383
Fax
(410) 356-3376
NPI assigned
Jun 5, 2006
Last updated
Apr 2, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 03546 MD Primary

Addresses

Primary practice location

110 Painters Mill Rd
Ste 23
Owings Mills, MD 21117-4920

Mailing address

110 Painters Mill Rd
Ste. 23
Owings Mills, MD 21117-4920
Phone (410) 356-3383

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
03546MDMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Medop Behavioral Health Associates of Maryland PC PastSince Nov 1, 2006 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270166400000",
    "number": "1245279538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 PAINTERS MILL RD",
            "address_2": "STE. 23",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211174920",
            "telephone_number": "410-356-3383",
            "fax_number": "410-356-3376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 PAINTERS MILL RD",
            "address_2": "STE 23",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211174920",
            "telephone_number": "410-356-3383",
            "fax_number": "410-356-3376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAFT",
        "first_name": "ROBERT",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2010-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MD",
            "license": "03546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owings Mills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2010; 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.