Active NPI
DRS. Bacharach, Volkman and Associates, L.L.C.
- Psychiatry Physician
- Ellicott City, MD
National Provider Identifier
1336153253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- D0021489
- Legal business name
- DRS. BACHARACH, VOLKMAN AND ASSOCIATES, L.L.C.
- Practice address
- 4801 Dorsey Hall Dr
S 200
Ellicott City, MD 21042-7749 - Phone
- (410) 715-1180
- Fax
- (410) 715-1182
- NPI assigned
- Jul 28, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Richard Bacharach, MD
- Title
- Partner
- Phone
- (410) 715-1180
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | D0021489 | MD | Primary |
Addresses
Primary practice location
4801 Dorsey Hall Dr
S 200
Ellicott City, MD 21042-7749
Mailing address
4801 Dorsey Hall Dr
Suite 200
Ellicott City, MD 21042-7749
Phone (410) 715-1180
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CJ3824 | Other | MD | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20081002000081 | MD | Part B Supplier - Clinic/Group Practice | 1052489135 |
Receives reassigned benefits from 3 practitioners Practice locations: Clarksville, MD |
National Provider Directory
National Provider Directory- Tax ID family
- DRS Bacharach Volkman and Associates LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinical Social Worker
- Columbia, MD
- NPI 1679126122
Locations
4801 Dorsey Hall Dr
Ste 200
Ellicott City, MD 21042
Phone (410) 715-1180
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Ellicott City, MD
- NPI 1245369479
-
- Clinical Social Worker
- Ellicott City, MD
- NPI 1801923438
-
- Professional Counselor
- Ellicott City, MD
- NPI 1669709226
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1226620800000",
"number": "1336153253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4801 DORSEY HALL DR",
"address_2": "SUITE 200",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210427749",
"telephone_number": "410-715-1180",
"fax_number": "410-715-1182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4801 DORSEY HALL DR",
"address_2": "S 200",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210427749",
"telephone_number": "410-715-1180",
"fax_number": "410-715-1182"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DRS. BACHARACH, VOLKMAN AND ASSOCIATES, L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-28",
"last_updated": "2008-11-14",
"status": "A",
"authorized_official_last_name": "BACHARACH",
"authorized_official_first_name": "RICHARD",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "410-715-1180",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MD",
"license": "D0021489",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CJ3824",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ellicott City, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.