Active NPI
Liwei Livia Hua, M.D., PH.D.
- Child & Adolescent Psychiatry Physician
- Lutherville Timonium, MD
National Provider Identifier
1497885131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 235356
- Practice address
- Catholic Charities of Baltimore
1966 Greenspring Drive
Lutherville Timonium, MD 21093 - Phone
- (667) 600-2200
- NPI assigned
- Mar 6, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 4301097393 | MI | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 4301097393 | MI | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Child & Adolescent Psychiatry Physician | 2084P0804X | 235356 | MA | Primary |
Addresses
Primary practice location
Catholic Charities of Baltimore
1966 Greenspring Drive
Lutherville Timonium, MD 21093
Mailing address
1111 Benfield Blvd, #200
Villa Maria Community Resources of Ann Arundel County
Millersville, MD 21108
Phone (667) 600-2494
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- 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, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301097393 | MI | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The South Bend Clinic, LLC | Current | Accepting new patients | |
| The South Bend Clinic LLC | Current | Accepting new patients |
Locations
6301 University Commons
Ste 230
South Bend, IN 46635
Phone (574) 251-2115
211 N Eddy St
South Bend, IN 46617
Phone (574) 237-9331
Interoperability endpoints
- https://epicproxy.et1296.epichosted.com/APIProxyPRD/api/FHIR/R4/
- lhua256555@dulyhealthandcare.direct-ci.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinic/Center
- South Bend, IN
- NPI 1073680419
-
- Anesthesiology Physician
- South Bend, IN
- NPI 1487307492
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620777600000",
"number": "1497885131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 BENFIELD BLVD, #200",
"address_2": "VILLA MARIA COMMUNITY RESOURCES OF ANN ARUNDEL COUNTY",
"city": "MILLERSVILLE",
"state": "MD",
"postal_code": "21108",
"telephone_number": "667-600-2494",
"fax_number": "667-600-4061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CATHOLIC CHARITIES OF BALTIMORE",
"address_2": "1966 GREENSPRING DRIVE",
"city": "LUTHERVILLE TIMONIUM",
"state": "MD",
"postal_code": "21093",
"telephone_number": "667-600-2200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUA",
"first_name": "LIWEI",
"middle_name": "LIVIA",
"credential": "M.D., PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-06",
"last_updated": "2021-05-12",
"certification_date": "2021-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MI",
"license": "4301097393",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "MI",
"license": "4301097393",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "MA",
"license": "235356",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lutherville Timonium, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2021; 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.