Jeffrey Soulen, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

D39080 Issued in MD

Practice address

3355 Saint Johns LN
Ste F
Ellicott City, MD 21042-2605

Phone

(410) 465-2056

Fax

(667) 401-6143

NPI assigned

Nov 21, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Perelman School of Med at the University of Pennsylvania, 1984

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Key Point Health Services, Inc

  • Adult Mental Health Clinic/Center
  • Towson, MD
  • NPI 1619302593
  NPD (past)

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

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455753600000",
    "number": "1285617506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2833 MONTCLAIR DR",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210433423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3355 SAINT JOHNS LN",
            "address_2": "STE F",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210422605",
            "telephone_number": "410-465-2056",
            "fax_number": "667-401-6143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOULEN",
        "first_name": "JEFFREY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-21",
        "last_updated": "2016-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D39080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jea Sub Song
• Young S Song, D.C.
• Tripti Soni, MD
• Bailey Ann Souder
• Michelle Louise Howard Soukiassian
• Southeast Psych Services LLC
• Abigail Southers, LMSW
• Sparrow Pelvic Health, LLC
• Stephanie Speake, PHARMD
• Benjamin Spearman

• Psychiatry Physician in Ellicott City, MD
• Providers in Ellicott City, MD by specialty
• Psychiatry Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.