Individual provider Active NPI

Tara Clare Patterson, MD

  • Psychiatry Physician
  • Baltimore, MD
National Provider Identifier
1669450623
Registry record updated Sep 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
D0058311 Issued in MD
Practice address
1001 Cathedral St
Baltimore, MD 21201-5442
Phone
(410) 837-2050
NPI assigned
Jan 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X D0058311 MD Primary
Addiction Psychiatry Physician 2084P0802X D0058311 MD

Addresses

Primary practice location

1001 Cathedral St
Baltimore, MD 21201-5442

Mailing address

1111 N. Charles St.
Baltimore, MD 21201-5442
Phone (410) 837-2050

Other identifiers 1

IdentifierTypeStateIssuer
132190100MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050906000338 VA Practitioner - Psychiatry 6204868755 Reassigns benefits to 1 organization
I20070927000160 MD Practitioner - Psychiatry 6204868755 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Rutgers New Jersey Medical School, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
First Hospital Corporation of Virginia BeachGroup PAC ID 5991797581, 7 clinicians

Practice addresses (Care Compare)

1100 1St Colonial Rd
Virginia Beach, VA 23454-2403
Phone (757) 496-4500

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0058311MDMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
First Hospital Corporation of Virginia Beach CurrentSince Sep 7, 2021 Accepting new patients
University of Maryland Psychiatry Associates, PA Psychiatry CurrentSince Oct 23, 2015 Accepting new patients
University of Maryland Psychiatry Associates PA PastSince Oct 12, 2025 Accepting new patients

Locations

701 W Pratt St
Baltimore, MD 21201
Phone (410) 328-5881

1100 First Colonial Rd
Virginia Beach, VA 23454
Phone (757) 463-5240

Organizations & group practices 3

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": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379376000000",
    "number": "1669450623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 N. CHARLES ST.",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212015442",
            "telephone_number": "410-837-2050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 CATHEDRAL ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212015442",
            "telephone_number": "410-837-2050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "TARA",
        "middle_name": "CLARE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-09",
        "last_updated": "2013-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D0058311",
            "primary": true
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "MD",
            "license": "D0058311",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "132190100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.