Active NPI
Inna Taller, M.D.
- Forensic Psychiatry Physician
- Jessup, MD
National Provider Identifier
1659546984
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Forensic Psychiatry Physician
- License
- D69863
- Practice address
- 8450 Dorsey Run Rd
Jessup, MD 20794-9486 - Phone
- (410) 724-3000
- NPI assigned
- Apr 28, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Forensic Psychiatry Physician | 2084F0202X | D69863 | MD | Primary |
Addresses
Primary practice location
8450 Dorsey Run Rd
Jessup, MD 20794-9486
Mailing address
8450 Dorsey Run Rd
Jessup, MD 20794-9486
Phone (410) 724-3000
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D69863 | MD | MD | Forensic Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305158400000",
"number": "1659546984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8450 DORSEY RUN RD",
"city": "JESSUP",
"state": "MD",
"postal_code": "207949486",
"telephone_number": "410-724-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8450 DORSEY RUN RD",
"city": "JESSUP",
"state": "MD",
"postal_code": "207949486",
"telephone_number": "410-724-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TALLER",
"first_name": "INNA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-28",
"last_updated": "2011-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "2084F0202X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Forensic Psychiatry",
"state": "MD",
"license": "D69863",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jessup, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.