Individual provider Active NPI

Gary A Curtis, PHD

  • Psychologist
  • Lutherville, MD
National Provider Identifier
1366461014
Registry record updated Nov 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
03714 Issued in MD
Practice address
1407 York Rd
Suite309
Lutherville, MD 21093-6097
Phone
(410) 825-2281
Fax
(410) 825-0757
NPI assigned
Jul 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2008

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 03714 MD Primary
Counseling Psychologist 103TC1900X 3714 MD
Clinical Psychologist 103TC0700X 0810003695 VA

Addresses

Primary practice location

1407 York Rd
Suite309
Lutherville, MD 21093-6097

Mailing address

PO Box 998
Churchville, VA 24421-0900
Phone (410) 825-2281

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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

Enrollment IDStateProvider typePAC IDDetails
I20061205000552 VA Practitioner - Clinical Psychologist 8820081177 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
0810003695VAMDClinical Psychologist
3714MDMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
NV Pacs 2 LLC CurrentSince Aug 1, 2022 Accepting new patients
CS Pacs 3 Southeast, LLC CurrentSince Sep 9, 2024 Accepting new patients
Virginia Pac Services PC CurrentSince Oct 1, 2017 Accepting new patients
Southeastern Physician Services PC CurrentSince Jan 4, 2021 Accepting new patients
Chapman Senior Care, Inc. Clinical PastSince Apr 9, 2011 Accepting new patients
Greater Baltimore Counseling Center, LLC Clinical PastSince Feb 1, 1996 Accepting new patients
Oasis the Mental Health Center, LLC PastSince Jan 29, 2023 Accepting new patients
Everly, Hildreth & Platman Behavioral Services, LLC Clinical Past Accepting new patients

Locations

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

15051 Harmony Hills Ln
Abingdon, VA 24211
Phone (276) 451-2590

1 Vantage Dr
Poquoson, VA 23662
Phone (757) 868-9660

3610 Winchester Dr
Portsmouth, VA 23707
Phone (757) 297-0725

600 W Ridge Rd
Wytheville, VA 24382
Phone (276) 228-0200

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225843200000",
    "number": "1366461014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 998",
            "city": "CHURCHVILLE",
            "state": "VA",
            "postal_code": "244210900",
            "telephone_number": "410-825-2281",
            "fax_number": "410-825-0757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 YORK RD",
            "address_2": "SUITE309",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210936097",
            "telephone_number": "410-825-2281",
            "fax_number": "410-825-0757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CURTIS",
        "first_name": "GARY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2008-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MD",
            "license": "03714",
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MD",
            "license": "3714",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810003695",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutherville, MD

Sources for this page

Verify at the official NPI Registry.