Mark W Crandall Mdpa

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

MARK W CRANDALL MDPA

Practice address

11421 Reisterstown Rd
Owings Mills, MD 21117-1834

Phone

(410) 356-2884

Fax

(410) 833-8174

NPI assigned

Aug 15, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Mark W Crandall, MDNPI 1841333531

Title

President

Phone

(410) 356-2884

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark Winthrop Crandall, MD

  • Psychiatry Physician
  • Owings Mills, MD
  • NPI 1841333531
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1218758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218758400000",
    "number": "1568618072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11421 REISTERSTOWN RD",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211171834",
            "telephone_number": "410-356-2884",
            "fax_number": "410-833-8174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11421 REISTERSTOWN RD",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211171834",
            "telephone_number": "410-356-2884",
            "fax_number": "410-833-8174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK W CRANDALL MDPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-15",
        "last_updated": "2008-08-15",
        "status": "A",
        "authorized_official_last_name": "CRANDALL",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-356-2884",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emelia Manu, RN
• Sarah C Manuba
• Chelsea F Manzon, LCSW-C
• Tameika Mapp, PHARMD
• Marilyn Murphy LMSW, LLC
• Charles F Markham, DPM
• Karen Tracy Marriott, CRNP
• Christopher Marroquin, PT, DPT, ATC
• Damon Lamont Marshall Sr., RN
• Vanessa Martin Jones, LMSW

• Mental Health Clinic/Center (Including Community Mental Health Center) in Owings Mills, MD
• Providers in Owings Mills, MD by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.