Individual provider Active NPI

Liwei Livia Hua, M.D., PH.D.

  • Child & Adolescent Psychiatry Physician
  • Lutherville Timonium, MD
National Provider Identifier
1497885131
Registry record updated May 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
235356 Issued in MA
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

Updated by the provider on May 12, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210831001348 IN Practitioner - Psychiatry 9335225507 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
4301097393MIMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The South Bend Clinic, LLC CurrentSince Oct 1, 2021 Accepting new patients
The South Bend Clinic LLC CurrentSince Oct 1, 2021 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

  • FHIR API: https://epicproxy.et1296.epichosted.com/APIProxyPRD/api/FHIR/R4/
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.