Individual provider Active NPI

Deborah Johnson Naylor, PHD, RN

  • Psychiatric/Mental Health Registered Nurse
  • Timonium, MD
National Provider Identifier
1386153146
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
R059794 Issued in MD
Practice address
2045 York Rd
3Rd Floor
Timonium, MD 21093
Phone
(410) 218-4152
Fax
(410) 560-2761
NPI assigned
Sep 25, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Registered Nurse 163WA0400X R059794 MD
Child & Adolescent Psychiatric/Mental Health Registered Nurse 163WP0807X R059794 MD
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X R059794 MD
Psychiatric/Mental Health Registered Nurse 163WP0808X R059794 MD Primary

Addresses

Primary practice location

2045 York Rd
3Rd Floor
Timonium, MD 21093

Mailing address

2045 York Rd
3Rd Floor
Timonium, MD 21093
Phone (410) 218-4152

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)
Not enrolled
Credentials
Doctor of Philosophy, Registered Nurse

State licenses

LicenseStateTypeSpecialty
R059794MDMDPsychiatric/Mental Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1506297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1386153146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2045 YORK RD",
            "address_2": "3RD FLOOR",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "21093",
            "telephone_number": "410-218-4152",
            "fax_number": "410-560-2761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2045 YORK RD",
            "address_2": "3RD FLOOR",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "21093",
            "telephone_number": "410-218-4152",
            "fax_number": "410-560-2761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAYLOR",
        "first_name": "DEBORAH",
        "middle_name": "JOHNSON",
        "name_prefix": "Dr.",
        "credential": "PHD, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-25",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "MD",
            "license": "R059794",
            "primary": false
        },
        {
            "code": "163WP0807X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": "MD",
            "license": "R059794",
            "primary": false
        },
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "MD",
            "license": "R059794",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R059794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Timonium, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.