Joseph Robert Kachik Jr., PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

03641 Issued in MD

Practice address

5024 Campbell Blvd
Suite H
Baltimore, MD 21236-5974

Phone

(410) 931-9280

Fax

(410) 931-6694

NPI assigned

Feb 6, 2007

Sex

Male

Sole proprietor

No

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: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

White Marsh Psychiatric Associates, LLCGroup PAC ID 3072681105, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• White Marsh Psychiatric Associates, LLC

  • Psychiatry Physician
  • Baltimore, MD
  • NPI 1043466147
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285773812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5024 CAMPBELL BLVD",
            "address_2": "SUITE H",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212365974",
            "telephone_number": "410-931-9280",
            "fax_number": "410-931-6694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5024 CAMPBELL BLVD",
            "address_2": "SUITE H",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212365974",
            "telephone_number": "410-931-9280",
            "fax_number": "410-931-6694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KACHIK",
        "first_name": "JOSEPH",
        "middle_name": "ROBERT",
        "name_suffix": "Jr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MD",
            "license": "03641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arif Kabir, M.D.
• Ayesha Z Kabir
• Satish Kabra, M.B., B.S.
• Loise Wamuyu Kabui
• Lara Christina Kachechian
• Sonal Kachroo, M.D.
• Seema Kacker, MD PHD
• Courtney Kaczmarek, M.S., CF-SLP
• Shoshana Judith Kadden
• Howard Aaron Kader, M.D.

• Psychologist in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Psychologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.