Dr Ellen M Mongan MD PA

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

DR ELLEN M MONGAN MD PA

Practice address

6701 N Charles St Ste 4104
Baltimore, MD 21204-6808

Phone

(410) 929-4617

NPI assigned

Feb 10, 2020

Organization subpart

No

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

Authorized official

Name

Ellen Marie Mongan, MD

Title

President

Phone

(410) 929-4617

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1581292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581292800000",
    "number": "1346872157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5391",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212090391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 N CHARLES ST STE 4104",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212046808",
            "telephone_number": "410-929-4617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR ELLEN M MONGAN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-10",
        "last_updated": "2020-02-10",
        "certification_date": "2020-02-10",
        "status": "A",
        "authorized_official_last_name": "MONGAN",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-929-4617",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr B Enjamin Shelton
• Dr Craig Friedman PA
• Dr Craig Friedman PA
• Dr D-V
• Dr D-V Inc
• Dr Irwin Azman & Dr Thomas Azman Ods PA
• Dr Jeffrey D. Gaber & Associates, P.a.
• Dr K Michael Murphy & Assoc., LLC
• Dr Larosliere DDS - Baltimore Inc
• Dr Michael W Whitecar, DDS, LLC

• Psychiatry Physician in Baltimore, MD
• Providers in Baltimore, 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 10, 2020; 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.