NPIMap

Organization Active NPI

Philip B. Dvoskin M.D.P.a.

Doing business as Arundel Psychiatric Associates

  • Psychiatry Physician
  • Glen Burnie, MD
National Provider Identifier
1396808895
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
D0003032 Issued in MD
Legal business name
PHILIP B. DVOSKIN M.D.P.A.
Doing business as
Arundel Psychiatric Associates
Practice address
1406B Crain Hwy S
Ste 301
Glen Burnie, MD 21061-4099
Phone
(410) 760-5588
Fax
(410) 760-9727
NPI assigned
Dec 18, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Philip Bryan Dvoskin, M.D.NPI 1184765117
Title
President
Phone
(410) 760-5588

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X D0003032 MD Primary

Addresses

Primary practice location

1406B Crain Hwy S
Ste 301
Glen Burnie, MD 21061-4099

Mailing address

1406B Crain Hwy S
Ste 301
Glen Burnie, MD 21061-4099
Phone (410) 760-5588

Other identifiers 2

IdentifierTypeStateIssuer
21919OtherMDMAMSI
K077OtherMDCAREFIRST

Other names 1

  • Arundel Psychiatric Associates Doing business as

National Provider Directory

National Provider Directory

Locations

1406B Crain Hwy S
#S301
Glen Burnie, MD 21061

Practitioners & affiliated clinicians

Practitioners 1

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": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396808895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1406B CRAIN HWY S",
            "address_2": "STE 301",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210614099",
            "telephone_number": "410-760-5588",
            "fax_number": "410-760-9727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406B CRAIN HWY S",
            "address_2": "STE 301",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210614099",
            "telephone_number": "410-760-5588",
            "fax_number": "410-760-9727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILIP B. DVOSKIN M.D.P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DVOSKIN",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "BRYAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-760-5588",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D0003032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "21919",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "K077",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arundel Psychiatric Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glen Burnie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.