Active NPI
Yves Antoine Edouard, MD
- Psychiatry Physician
- Baltimore, MD
National Provider Identifier
1447314935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- D0028468
- Practice address
- 3700 Fleet St.
Suite 200
Baltimore, MD 21224 - Phone
- (410) 558-4900
- Fax
- (410) 522-5070
- NPI assigned
- Dec 20, 2006
- Last updated
- Nov 5, 2015
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | D0028468 | MD | Primary |
Addresses
Primary practice location
3700 Fleet St.
Suite 200
Baltimore, MD 21224
Mailing address
3501 Sinclair Lane
Baltimore, MD 21213
Phone (410) 732-8800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0028468 | MD | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Behavioral Services, LLC | Current | Accepting new patients | |
| Neighbors' Consejo | Current | Accepting new patients | |
| Baltimore Medical System Inc | Past | Accepting new patients |
Locations
6323 Georgia Ave NW
Ste 206
Washington, DC 20011
Phone (202) 234-6855
1835 University Blvd E
Ste 316
Hyattsville, MD 20783
Phone (301) 270-3200
Organizations & group practices 3
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.
-
dba Neighbors
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Washington, DC
- NPI 1912027715
-
- Federally Qualified Health Center (FQHC)
- Baltimore, MD
- NPI 1548266547
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446681600000",
"number": "1447314935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3501 SINCLAIR LANE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21213",
"telephone_number": "410-732-8800",
"fax_number": "410-534-2392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3700 FLEET ST.",
"address_2": "SUITE 200",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21224",
"telephone_number": "410-558-4900",
"fax_number": "410-522-5070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDOUARD",
"first_name": "YVES",
"middle_name": "ANTOINE",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-20",
"last_updated": "2015-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MD",
"license": "D0028468",
"primary": true
}
],
"identifiers": [],
"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 Nov 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.