David Michelson, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

3935 Issued in MD

Practice address

6310 Harford Rd
Baltimore, MD 21214-1315

Phone

(410) 426-6370

Fax

(410) 426-3491

NPI assigned

Jul 11, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1487689576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6310 HARFORD RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212141315",
            "telephone_number": "410-426-6370",
            "fax_number": "410-426-3491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6310 HARFORD RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212141315",
            "telephone_number": "410-426-6370",
            "fax_number": "410-426-3491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHELSON",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MD",
            "license": "3935",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "408954500",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Michel
• Theresa Marie Michele, M.D.
• Michele'S Haven, CDC, Inc.
• Elizabeth Harlan Michelle, MD
• Charles Michelson
• Elaine Gail Michelson, MS,CCC-SLP
• Erin Donnelly Michos, M.D.
• Henry Joseph Michtalik, M.D.
• Jessica Miciche, CRNP
• Diane Lyn Mick, OTR/L

• Psychologist in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Psychologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; 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.

Verify at the official NPI Registry.