Individual provider Active NPI

Anisa Dian Cott, M.D.

  • Psychiatry Physician
  • Catonsville, MD
National Provider Identifier
1265481790
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
D0058350 Issued in MD
Practice address
55 Wade Ave
Catonsville, MD 21228-4663
Phone
(410) 402-8343
NPI assigned
May 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X D0058350 MD Primary

Addresses

Primary practice location

55 Wade Ave
Catonsville, MD 21228-4663

Mailing address

55 Wade Ave
Catonsville, MD 21228-4663
Phone (410) 402-8343

Other identifiers 3

IdentifierTypeStateIssuer
405484900MedicaidMD
C31152OtherMDR/R MEDICARE GROUP #
P00168287OtherMDR/R MEDICARE PROVIDER #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0058350MDMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
State of Maryland Central Payroll Bureau CurrentSince Jul 20, 2021 Accepting new patients
Comptroller of Maryland Central Payroll Bureau CurrentSince Jul 20, 2021 Accepting new patients
Comptroller of Maryland Central Payroll Bureau Current Accepting new patients
Sinai Hospital of Baltimore Inc Past Accepting new patients
Sinai Hospital of Baltimore Inc Past Accepting new patients
Sinai Hospital of Baltimore Inc Past Accepting new patients
Sinai Hospital of Baltimore Inc Past Accepting new patients
Sinai Hospital of Baltimore Inc Past Accepting new patients
Sinai Hospital of Baltimore Inc Past Accepting new patients
Sinai Hospital of Baltimore Inc Past Accepting new patients

Locations

300 W Preston St
Ste 402
Baltimore, MD 21201
Phone (410) 767-2940

55 Wade Ave
Catonsville, MD 21228
Phone (410) 402-6000

6655 Sykesville Rd
Sykesville, MD 21784
Phone (410) 795-2100

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1265481790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 WADE AVE",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212284663",
            "telephone_number": "410-402-8343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 WADE AVE",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212284663",
            "telephone_number": "410-402-8343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COTT",
        "first_name": "ANISA",
        "middle_name": "DIAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-10",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D0058350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "405484900",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "R/R MEDICARE GROUP #",
            "identifier": "C31152",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "R/R MEDICARE PROVIDER #",
            "identifier": "P00168287",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Catonsville, MD

Sources for this page

Verify at the official NPI Registry.