Active NPI
Yula Ponticas, PH.D., P.a.
- Adult Mental Health Clinic/Center
- Towson, MD
National Provider Identifier
1255625844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- License
- 02426
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Clinical Social Worker
- Baltimore, MD
- NPI 1992756001
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.