Active NPI
Dina Douty
- Speech-Language Pathologist
- Columbia, MD
National Provider Identifier
1629546254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 05846
- Practice address
- 6000 Tamar Dr
Columbia, MD 21045-4049 - Phone
- (401) 313-6872
- NPI assigned
- Nov 13, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 05846 | MD | Primary |
Addresses
Primary practice location
6000 Tamar Dr
Columbia, MD 21045-4049
Mailing address
6000 Tamar Dr
Columbia, MD 21045-4049
Phone (410) 313-6872
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05846 | MD | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542067200000",
"number": "1629546254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6000 TAMAR DR",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210454049",
"telephone_number": "410-313-6872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6000 TAMAR DR",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210454049",
"telephone_number": "401-313-6872"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOUTY",
"first_name": "DINA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-11-13",
"last_updated": "2018-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MD",
"license": "05846",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.