Active NPI
Mohamed Mansaray, PSY.D.
- Clinical Psychologist
- Columbia, MD
National Provider Identifier
1255750089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 05396
- Practice address
- 5500 Knoll North Dr Ste 370
Columbia, MD 21045-2393 - Phone
- (410) 837-2050
- NPI assigned
- Apr 9, 2014
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 05396 | MD | Primary |
Addresses
Primary practice location
5500 Knoll North Dr Ste 370
Columbia, MD 21045-2393
Mailing address
5500 Knoll North Dr Ste 370
Columbia, MD 21045-2393
Phone (410) 837-2050
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1397001600000",
"number": "1255750089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5500 KNOLL NORTH DR STE 370",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210452393",
"telephone_number": "410-837-2050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5500 KNOLL NORTH DR STE 370",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210452393",
"telephone_number": "410-837-2050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANSARAY",
"first_name": "MOHAMED",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-04-09",
"last_updated": "2014-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MD",
"license": "05396",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.