Active NPI
Mahmoud Malayeri, MD
- Child & Adolescent Psychiatry Physician
- Salisbury, MD
National Provider Identifier
1639166358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- D0018737
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| D0018737 | MD | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| ABA Health Services Inc | Current | Accepting new patients | |
| New Vision Behavioral Health Services Inc | Current | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Baltimore, MD
- NPI 1720019672
MD
-
- Community/Behavioral Health Agency
- Baltimore, MD
- NPI 1497917926
MD
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Baltimore, MD
- NPI 1649593245
-
- Community/Behavioral Health Agency
- Cambridge, MD
- NPI 1619171535
-
- Community/Behavioral Health Agency
- Cambridge, MD
- NPI 1083810774
-
- Mental Health Counselor
- Baltimore, MD
- NPI 1720091044
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.