Organization Active NPI

Yula Ponticas, PH.D., P.a.

  • Adult Mental Health Clinic/Center
  • Towson, MD
National Provider Identifier
1255625844
Registry record updated Jun 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
02426 Issued in MD
Legal business name
YULA PONTICAS, PH.D., P.A.
Practice address
1104 Kenilworth Dr
Suite 210
Towson, MD 21204-2101
Phone
(410) 828-8824
Fax
(410) 828-8823
NPI assigned
Jun 1, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2011

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

Authorized official

Name
Dr. Yula Ponticas, PH.D.
Title
President
Phone
(410) 828-8824

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 02426 MD Primary

Addresses

Primary practice location

1104 Kenilworth Dr
Suite 210
Towson, MD 21204-2101

Mailing address

1104 Kenilworth Dr
Suite 210
Towson, MD 21204-2101
Phone (410) 828-8824

National Provider Directory

National Provider Directory

Locations

1104 Kenilworth Dr
Ste 210
Towson, MD 21204
Phone (410) 828-8822

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1306886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306886400000",
    "number": "1255625844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 KENILWORTH DR",
            "address_2": "SUITE 210",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212042101",
            "telephone_number": "410-828-8824",
            "fax_number": "410-828-8823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 KENILWORTH DR",
            "address_2": "SUITE 210",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212042101",
            "telephone_number": "410-828-8824",
            "fax_number": "410-828-8823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YULA PONTICAS, PH.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-01",
        "last_updated": "2011-06-01",
        "status": "A",
        "authorized_official_last_name": "PONTICAS",
        "authorized_official_first_name": "YULA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-828-8824",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "MD",
            "license": "02426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2011; 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.