NPIMap

Organization Active NPI

Darryl M Coleman MD P a

  • Behavior Analyst
  • Catonsville, MD
National Provider Identifier
1528368446
Registry record updated Feb 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
DARRYL M COLEMAN MD P A
Practice address
6630 Baltimore National Pike
205B
Catonsville, MD 21228-3920
Phone
(410) 744-7076
NPI assigned
Oct 26, 2010
Last updated
Feb 11, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2014

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

Authorized official

Name
Darryl M Coleman, M.D.NPI 1164565834
Title
Owner Psychiatrist
Phone
(410) 744-7076

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

6630 Baltimore National Pike
205B
Catonsville, MD 21228-3920

Mailing address

6630 Baltimore National Pike
205B
Catonsville, MD 21228-3920
Phone (410) 744-7076

Other identifiers 1

IdentifierTypeStateIssuer
731901100MedicaidMD

National Provider Directory

National Provider Directory
Tax ID family
Darryl M Coleman MD PA6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1288051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392076800000",
    "number": "1528368446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6630 BALTIMORE NATIONAL PIKE",
            "address_2": "205B",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212283920",
            "telephone_number": "410-744-7076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6630 BALTIMORE NATIONAL PIKE",
            "address_2": "205B",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212283920",
            "telephone_number": "410-744-7076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DARRYL M COLEMAN MD P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-26",
        "last_updated": "2014-02-11",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "DARRYL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER PSYCHIATRIST",
        "authorized_official_telephone_number": "410-744-7076",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "731901100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Catonsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2014; 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.