Individual provider Active NPI

Terrye Ann Marie Mowatt, M.D.

  • Psychiatry Physician
  • Columbia, MD
National Provider Identifier
1619088507
Registry record updated May 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
D0053895 Issued in MD
Practice address
10808 Hickory Ridge Rd
Columbia, MD 21044-3622
Phone
(410) 381-0060
Fax
(410) 381-0090
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X D0053895 MD Primary

Addresses

Primary practice location

10808 Hickory Ridge Rd
Columbia, MD 21044-3622

Mailing address

6304 Early Glow CT
Columbia, MD 21045-4498
Phone (410) 381-0600

Other identifiers 1

IdentifierTypeStateIssuer
BM752192OtherMDCDS LICENSE

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
I20050901000438 MD Practitioner - Psychiatry 3678505435 Practice locations: Columbia, MD

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Howard University College of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

10808 Hickory Ridge Rd
Columbia, MD 21044-3622
Phone (410) 381-0060

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Baltimore Center, Inc Past Accepting new patients
Terrye a. Mowatt, M.D. Psychiatry PastSince Aug 1, 2007 Accepting new patients
Colette Brunell LCSW-C,BCD,LLC Past Accepting new patients
Robert J. Temple, MD PA Psychiatry Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684627200000",
    "number": "1619088507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6304 EARLY GLOW CT",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210454498",
            "telephone_number": "410-381-0600",
            "fax_number": "410-381-0090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10808 HICKORY RIDGE RD",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443622",
            "telephone_number": "410-381-0060",
            "fax_number": "410-381-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOWATT",
        "first_name": "TERRYE",
        "middle_name": "ANN MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2023-05-21",
        "certification_date": "2023-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D0053895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDS LICENSE",
            "identifier": "BM752192",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.