NPIMap

Organization Active NPI

Marian House

  • Psychiatry Physician
  • Baltimore, MD
National Provider Identifier
1407194277
Registry record updated Jan 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
MARIAN HOUSE
Practice address
949 Gorsuch Ave
Baltimore, MD 21218-3602
Phone
(410) 467-4121
Fax
(410) 467-6709
NPI assigned
Jan 29, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2013

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

Authorized official

Name
Ms. Katie Dineen Allston, LCSW-C
Title
Executive Director
Phone
(410) 467-4121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

949 Gorsuch Ave
Baltimore, MD 21218-3602

Mailing address

949 Gorsuch Ave
Baltimore, MD 21218-3602
Phone (410) 467-4121

Other identifiers 1

IdentifierTypeStateIssuer
448103800MedicaidMD

National Provider Directory

National Provider Directory
Tax ID family
Marian House Inc9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1359417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359417600000",
    "number": "1407194277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "949 GORSUCH AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212183602",
            "telephone_number": "410-467-4121",
            "fax_number": "410-467-6709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "949 GORSUCH AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212183602",
            "telephone_number": "410-467-4121",
            "fax_number": "410-467-6709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIAN HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-29",
        "last_updated": "2013-01-29",
        "status": "A",
        "authorized_official_last_name": "ALLSTON",
        "authorized_official_first_name": "KATIE",
        "authorized_official_middle_name": "DINEEN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "410-467-4121",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "448103800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2013; 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.