Individual provider Active NPI

Mahmoud Malayeri, MD

  • Child & Adolescent Psychiatry Physician
  • Salisbury, MD
National Provider Identifier
1639166358
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
D0018737 Issued in MD
Practice address
805 N Salisbury Blvd
Ste 3100
Salisbury, MD 21801-3637
Phone
(410) 334-6687
Fax
(410) 334-6700
NPI assigned
Sep 29, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X D0018737 MD Primary

Addresses

Primary practice location

805 N Salisbury Blvd
Ste 3100
Salisbury, MD 21801-3637

Mailing address

828 Airpax Rd
Suite 300B
Cambridge, MD 21613-6405
Phone (410) 228-3929

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
I20041020000185 MD Practitioner - Psychiatry 6002876562 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0018737MDMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
ABA Health Services Inc CurrentSince Jul 1, 2018 Accepting new patients
New Vision Behavioral Health Services Inc CurrentSince Oct 20, 2021 Accepting new patients
ABA Health Services Counseling Past Accepting new patients
Maryland Addictions & Psych Inc Past Accepting new patients
North Baltimore Center, Inc Past Accepting new patients
Dr. Jani Associates, LLC Past Accepting new patients

Locations

5718 Harford Rd
Ste 103
Baltimore, MD 21214
Phone (410) 254-4343

3939 Reisterstown Rd
Baltimore, MD 21215
Phone (410) 367-7821

4710 Pennington Ave
Ste 3
Curtis Bay, MD 21226
Phone (410) 355-3285

Organizations & group practices 6

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": "1127952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639166358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "828 AIRPAX RD",
            "address_2": "SUITE 300B",
            "city": "CAMBRIDGE",
            "state": "MD",
            "postal_code": "216136405",
            "telephone_number": "410-228-3929",
            "fax_number": "410-228-3810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 N SALISBURY BLVD",
            "address_2": "STE 3100",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218013637",
            "telephone_number": "410-334-6687",
            "fax_number": "410-334-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALAYERI",
        "first_name": "MAHMOUD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "MD",
            "license": "D0018737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

Verify at the official NPI Registry.