Individual provider Active NPI

Catherine Lynn Harrison-Restelli, M.D.

  • Psychosomatic Medicine Physician
  • Baltimore, MD
National Provider Identifier
1609042852
Registry record updated Oct 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychosomatic Medicine PhysicianTaxonomy code 2084P0015X
License
D69084 Issued in MD
Practice address
6565 N Charles St
Suite Ppe # 211
Baltimore, MD 21204-6800
Phone
(443) 849-2368
Fax
(443) 849-2248
NPI assigned
May 7, 2008
Last updated
Oct 28, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychosomatic Medicine Physician 2084P0015X D69084 MD Primary

Addresses

Primary practice location

6565 N Charles St
Suite Ppe # 211
Baltimore, MD 21204-6800

Mailing address

6565 N Charles St
Suite Ppe # 211
Baltimore, MD 21204-6800
Phone (443) 849-2368

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20100610000126 MD Practitioner - Psychiatry 8224168745 Reassigns benefits to 1 organization
Practice locations: Luthvle Timon, MD

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
JS Weill Medical College, Cornell University, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Maryland Psychiatry Associates PAGroup PAC ID 1052208253, 54 clinicians

Practice addresses (Care Compare)

22 S Green St
Baltimore, MD 21201-1544
Phone (410) 328-5881

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D69084MDMDPsychosomatic Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Catherine Harrison-Restelli MD CurrentSince Feb 1, 2020 Accepting new patients
University of Maryland Medical Center, LLC Past Accepting new patients
Consultation & Crisis Intervention Associates, LLC PastSince Oct 31, 2016 Accepting new patients

Locations

2324 W Joppa Rd
Ste 220
Luthvle Timon, MD 21093
Phone (410) 583-2622

Interoperability endpoints

  • Direct secure messaging: charrisonrestelli6647@direct.umm.edu

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477612800000",
    "number": "1609042852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6565 N CHARLES ST",
            "address_2": "SUITE PPE # 211",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212046800",
            "telephone_number": "443-849-2368",
            "fax_number": "443-849-2248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6565 N CHARLES ST",
            "address_2": "SUITE PPE # 211",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212046800",
            "telephone_number": "443-849-2368",
            "fax_number": "443-849-2248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON-RESTELLI",
        "first_name": "CATHERINE",
        "middle_name": "LYNN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-07",
        "last_updated": "2016-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0015X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychosomatic Medicine",
            "state": "MD",
            "license": "D69084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.