Individual provider Active NPI

Daniel Nothmann, PSY.D.

  • Clinical Psychologist
  • Owings Mills, MD
National Provider Identifier
1386608420
Registry record updated Jun 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3666 Issued in MD
Practice address
20 Crossroads Dr
Ste. 103
Owings Mills, MD 21117-5419
Phone
(443) 394-0768
NPI assigned
Apr 14, 2006
Last updated
Jun 21, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 3666 MD Primary

Addresses

Primary practice location

20 Crossroads Dr
Ste. 103
Owings Mills, MD 21117-5419

Mailing address

20 Crossroads Dr
Ste. 103
Owings Mills, MD 21117-5419
Phone (443) 394-0768

Other identifiers 1

IdentifierTypeStateIssuer
137500800MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20040616000953 MD Practitioner - Clinical Psychologist 9739163775 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nothmann and Associates PAGroup PAC ID 7618029919, 2 clinicians

Practice addresses (Care Compare)

20 Crossroads Dr
Suite 103
Owings Mills, MD 21117-5480
Phone 4433940768101

20 Crossroads Dr
Suite 103
Owings Mills, MD 21117-5498

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3666MDMDSchool Psychologist

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403308800000",
    "number": "1386608420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 CROSSROADS DR",
            "address_2": "STE. 103",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175419",
            "telephone_number": "443-394-0768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 CROSSROADS DR",
            "address_2": "STE. 103",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175419",
            "telephone_number": "443-394-0768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOTHMANN",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-14",
        "last_updated": "2014-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "3666",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137500800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Owings Mills, MD

Sources for this page

Verify at the official NPI Registry.