Active NPI
Mark Anthony Mann Sr., PH.D.
- Psychologist
- Baltimore, MD
National Provider Identifier
1245328830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 10 North Greene St
Trauma Recovery Program
Baltimore, MD 21201-1524 - Phone
- (410) 605-7277
- NPI assigned
- Oct 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
10 North Greene St
Trauma Recovery Program
Baltimore, MD 21201-1524
Mailing address
8028 Escalon Ave
Pasadena, MD 21122-1279
Phone (410) 360-3573
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1245328830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8028 ESCALON AVE",
"city": "PASADENA",
"state": "MD",
"postal_code": "211221279",
"telephone_number": "410-360-3573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 NORTH GREENE ST",
"address_2": "TRAUMA RECOVERY PROGRAM",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212011524",
"telephone_number": "410-605-7277"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANN",
"first_name": "MARK",
"middle_name": "ANTHONY",
"name_prefix": "Dr.",
"name_suffix": "Sr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.