Individual provider Active NPI

Thomas Muha, PHD

  • Psychologist
  • Annapolis, MD
National Provider Identifier
1447880919
Registry record updated Jan 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1241 Issued in MD
Practice address
1410 Forest Dr Ste 24
Annapolis, MD 21403-1446
Phone
(443) 454-7274
NPI assigned
Jan 23, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 1241 MD Primary

Addresses

Primary practice location

1410 Forest Dr Ste 24
Annapolis, MD 21403-1446

Mailing address

13 Franklin St
Annapolis, MD 21401-2707
Phone (443) 454-7274

Other identifiers 1

IdentifierTypeStateIssuer
1241OtherMDMD BOARD OF PSYCHOLOGY

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

State licenses

LicenseStateTypeSpecialty
1241MDMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1579737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579737600000",
    "number": "1447880919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 FRANKLIN ST",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214012707",
            "telephone_number": "443-454-7274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 FOREST DR STE 24",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214031446",
            "telephone_number": "443-454-7274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUHA",
        "first_name": "THOMAS",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-01-23",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MD",
            "license": "1241",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD BOARD OF PSYCHOLOGY",
            "identifier": "1241",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.