Organization Active NPI

Eric J Lane Psy D PA

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Towson, MD
National Provider Identifier
1366727034
Registry record updated Oct 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
04531 Issued in MD
Legal business name
ERIC J LANE PSY D PA
Practice address
1104 Kenilworth Dr
Suite 302
Towson, MD 21204-2101
Phone
(443) 280-2916
Fax
(410) 377-4844
NPI assigned
Oct 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2011

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

Authorized official

Name
Dr. Eric J Lane, PSY.D.NPI 1578677225
Title
President
Phone
(443) 280-2916

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 04531 MD Primary

Addresses

Primary practice location

1104 Kenilworth Dr
Suite 302
Towson, MD 21204-2101

Mailing address

1104 Kenilworth Dr
Suite 302
Towson, MD 21204-2101
Phone (443) 280-2916

National Provider Directory

National Provider Directory

Locations

7765 Freetown Rd
Glen Burnie, MD 21060
Phone (410) 255-3805

1104 Kenilworth Dr
Ste 302
Towson, MD 21204
Phone (410) 377-7050

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1318464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318464000000",
    "number": "1366727034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 KENILWORTH DR",
            "address_2": "SUITE 302",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212042101",
            "telephone_number": "443-280-2916",
            "fax_number": "410-377-4844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 KENILWORTH DR",
            "address_2": "SUITE 302",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212042101",
            "telephone_number": "443-280-2916",
            "fax_number": "410-377-4844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC J LANE PSY D PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-13",
        "last_updated": "2011-10-13",
        "status": "A",
        "authorized_official_last_name": "LANE",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "443-280-2916",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "MD",
            "license": "04531",
            "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 Oct 13, 2011; 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.