NPIMap

Organization Active NPI

Towson Addictions Center

  • Addiction (Substance Use Disorder) Psychologist
  • Towson, MD
National Provider Identifier
1265716138
Registry record updated Oct 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) PsychologistTaxonomy code 103TA0400X
License
2032 Issued in MD
Legal business name
TOWSON ADDICTIONS CENTER
Practice address
102 W Pennsylvania Ave Ste 306
Towson, MD 21204-4543
Phone
(410) 337-8193
Fax
(410) 337-8192
NPI assigned
Oct 10, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2011

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

Authorized official

Name
Dr. Paul C Berman, PH.D.
Title
Director
Phone
(410) 337-8193

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TA0400X 2032 MD Primary

Addresses

Primary practice location

102 W Pennsylvania Ave Ste 306
Towson, MD 21204-4543

Mailing address

102 W Pennsylvania Ave Ste 306
Towson, MD 21204-4543
Phone (410) 337-8193

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1318204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318204800000",
    "number": "1265716138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 W PENNSYLVANIA AVE STE 306",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212044543",
            "telephone_number": "410-337-8193",
            "fax_number": "410-337-8192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 W PENNSYLVANIA AVE STE 306",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212044543",
            "telephone_number": "410-337-8193",
            "fax_number": "410-337-8192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWSON ADDICTIONS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-10",
        "last_updated": "2011-10-10",
        "status": "A",
        "authorized_official_last_name": "BERMAN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "410-337-8193",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "MD",
            "license": "2032",
            "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 Oct 10, 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.