Active NPI
Thomas L Baumgardner, PHD
- Clinical Neuropsychologist
- Towson, MD
National Provider Identifier
1295944080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 03177
- Practice address
- 8422 Bellona LN
Suite 205
Towson, MD 21204-2048 - Phone
- (410) 583-0011
- Fax
- (410) 583-0012
- NPI assigned
- May 21, 2007
- Last updated
- Jan 7, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 Neuropsychologist | 103G00000X | 03177 | MD | Primary |
Addresses
Primary practice location
8422 Bellona LN
Suite 205
Towson, MD 21204-2048
Mailing address
8422 Bellona LN Ste 207
Towson, MD 21204-2057
Phone (410) 583-0011
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: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Feb 10, 2017 through Feb 10, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03177 | MD | MD | Clinical Neuropsychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609977600000",
"number": "1295944080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8422 BELLONA LN STE 207",
"city": "TOWSON",
"state": "MD",
"postal_code": "212042057",
"telephone_number": "410-583-0011",
"fax_number": "410-583-0012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8422 BELLONA LN",
"address_2": "SUITE 205",
"city": "TOWSON",
"state": "MD",
"postal_code": "212042048",
"telephone_number": "410-583-0011",
"fax_number": "410-583-0012"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAUMGARDNER",
"first_name": "THOMAS",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-21",
"last_updated": "2021-01-07",
"certification_date": "2021-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "MD",
"license": "03177",
"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 Jan 7, 2021; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.