Active NPI
Mohammad Maisami, MD
- Child & Adolescent Psychiatry Physician
- Towson, MD
National Provider Identifier
1376693051
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- D0018915
- Practice address
- 26 W Pennsylvania Ave
Towson, MD 21204-5001 - Phone
- (410) 321-7907
- Fax
- (410) 321-0337
- NPI assigned
- Jan 12, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | D0018915 | MD | Primary |
Addresses
Primary practice location
26 W Pennsylvania Ave
Towson, MD 21204-5001
Mailing address
26 W Pennsylvania Ave
Towson, MD 21204-5027
Phone (410) 321-7907
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D0018915 | Other | MD | MEDICAL LICENSE |
| 459141100 | Medicaid | MD | |
| MO5471 | Other | MD | MD CONTROL SBSTANCE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0018915 | MD | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1376693051",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26 W PENNSYLVANIA AVE",
"city": "TOWSON",
"state": "MD",
"postal_code": "212045027",
"telephone_number": "410-321-7907",
"fax_number": "410-321-0337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26 W PENNSYLVANIA AVE",
"city": "TOWSON",
"state": "MD",
"postal_code": "212045001",
"telephone_number": "410-321-7907",
"fax_number": "410-321-0337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAISAMI",
"first_name": "MOHAMMAD",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-12",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "MD",
"license": "D0018915",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "D0018915",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "459141100",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MD CONTROL SBSTANCE",
"identifier": "MO5471",
"state": "MD"
}
],
"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 Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.