Parker Psychiatric Services, Incorporated

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

MH - 1474 Issued in MD

Legal business name

PARKER PSYCHIATRIC SERVICES, INCORPORATED

Practice address

940 Madison Ave Ste 202
Baltimore, MD 21201-2113

Phone

(410) 777-8710

Fax

(443) 434-0110

NPI assigned

Aug 7, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Gary Harry Parker, MSW

Title

Ceo

Phone

(410) 440-0317

Specialties & licenses 1

Addresses

Tax ID family

Parker Psychiatric Services3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Parker Psychiatric Services, Incorporated

  • Addiction (Substance Use Disorder) Counselor
  • Baltimore, MD
  • NPI 1659843373
  NPD tax ID
• Parker Psychiatric Services, Incorporated

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baltimore, MD
  • NPI 1912478900
  NPD tax ID

Locations

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Parker Psychiatric Services, Incorporated

  • Addiction (Substance Use Disorder) Counselor
  • Baltimore, MD
  • NPI 1659843373
  NPPES parent name
• Parker Psychiatric Services, Incorporated

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baltimore, MD
  • NPI 1912478900
  NPPES parent name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1407369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548720000000",
    "number": "1669881272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 MADISON AVE STE 202",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212012113",
            "telephone_number": "410-440-0317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 MADISON AVE STE 202",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212012113",
            "telephone_number": "410-777-8710",
            "fax_number": "443-434-0110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26 W 25th St",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212185020",
            "country_code": "US",
            "telephone_number": "410-440-0317",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PARKER PSYCHIATRIC SERVICES, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-07",
        "last_updated": "2019-01-29",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "HARRY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "410-440-0317",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "MD",
            "license": "MH - 1474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suyi Park, MD
• Tae Joon Park, DNP, PMHNP-BC
• Youjin Park, DMD
• Young Park
• Parker Psychiatric Services, Incorporated
• Parker Psychiatric Services, Incorporated
• Rochelle Lynette Parker-McKenzie, CRNA
• Aaron Parker
• Amirah Iman Parker
• Angela Marcia Parker, RPH

• Preferred Provider Organization in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Preferred Provider Organization in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.