Organization Active NPI

Maryland Anxiety and Depression Treatment Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ellicott City, MD
National Provider Identifier
1609591957
Registry record updated Oct 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
MARYLAND ANXIETY AND DEPRESSION TREATMENT CENTER
Practice address
5114 Dorsey Hall Dr Ste 2
Ellicott City, MD 21042-7878
Phone
(410) 995-8078
NPI assigned
Oct 10, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2022

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

Authorized official

Name
Dr. Michael Jonathan Brown, MDNPI 1407199375
Title
Psychiatrist
Phone
(410) 995-8078

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

5114 Dorsey Hall Dr Ste 2
Ellicott City, MD 21042-7878

Mailing address

4552 Kingscup CT
Ellicott City, MD 21042-6004
Phone (410) 995-8078

National Provider Directory

National Provider Directory

Locations

5114 Dorsey Hall Dr
Ste 2
Ellicott City, MD 21042
Phone (410) 995-8078

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1665360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665360000000",
    "number": "1609591957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4552 KINGSCUP CT",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210426004",
            "telephone_number": "410-995-8078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5114 DORSEY HALL DR STE 2",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210427878",
            "telephone_number": "410-995-8078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYLAND ANXIETY AND DEPRESSION TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-10",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-10",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JONATHAN",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "410-995-8078",
        "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": []
}

Other providers in Ellicott City, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2022; 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.