Active NPI
Gary A Curtis, PHD
- Psychologist
- Lutherville, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 03714
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0810003695 | VA | MD | Clinical Psychologist |
| 3714 | MD | MD | Counseling Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NV Pacs 2 LLC | Current | Accepting new patients | |
| CS Pacs 3 Southeast, LLC | Current | Accepting new patients | |
| Virginia Pac Services PC | Current | Accepting new patients | |
| Southeastern Physician Services PC | Current | Accepting new patients | |
| Chapman Senior Care, Inc. | Clinical | Past | Accepting new patients |
| Greater Baltimore Counseling Center, LLC | Clinical | Past | Accepting new patients |
| Oasis the Mental Health Center, LLC | Past | 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.
-
- Hospitalist Physician
- Abingdon, VA
- NPI 1073042800
-
- Professional Counselor
- Baltimore, MD
- NPI 1225005580
Clinical
-
- Clinical Psychologist
- Glen Burnie, MD
- NPI 1376616938
-
- Psychiatry Physician
- Glen Burnie, MD
- NPI 1174606057
-
- Clinical Social Worker
- Richmond, VA
- NPI 1669439691
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2008; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.