Individual provider Active NPI

Robert Ciaverelli, M.D.

  • Psychiatry Physician
  • Towson, MD
National Provider Identifier
1689681983
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
D0033734 Issued in MD
Practice address
120 Sister Pierre Dr
Suite 407
Towson, MD 21204-7516
Phone
(443) 279-2000
NPI assigned
Aug 1, 2006
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
Psychiatry Physician 2084P0800X D0033734 MD Primary

Addresses

Primary practice location

120 Sister Pierre Dr
Suite 407
Towson, MD 21204-7516

Mailing address

120 Sister Pierre Dr
Suite 407
Towson, MD 21204-7516
Phone (443) 279-2000

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
I20050202001005 MD Practitioner - Psychiatry 3577514983 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
George Washington University School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Safe Harbor Behavioral Care LLCGroup PAC ID 0345514675, 81 clinicians

Practice addresses (Care Compare)

606 Baltimore Ave
Suite 406
Baltimore, MD 21204-4073
Phone (410) 893-4600

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0033734MDMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Safe Harbor Christian Counseling LLC CurrentSince Jun 1, 2026 Accepting new patients
Safe Harbor Behavioral Care, LLC CurrentSince Dec 1, 2022 Accepting new patients
Safe Harbor Community Services CurrentSince Jan 1, 2023 Accepting new patients
Advanced Behavioral Care, Inc. Past Accepting new patients
Psych Associates Care, LLC Past Accepting new patients
Total Care, Inc. Past Accepting new patients

Locations

1739 9th St NW
Washington, DC 20001

606 Baltimore Ave
Ste 406
Baltimore, MD 21204

1208 E Churchville Rd
Ste 300
Bel Air, MD 21014
Phone (410) 838-9500

2227 Old Emmorton Rd
Ste 115
Bel Air, MD 21015
Phone (410) 589-0999

5054 Dorsey Hall Dr
Ste 105
Ellicott City, MD 21042
Phone (410) 730-0122

5430 Campbell Blvd
Ste 211
White Marsh, MD 21162
Phone (410) 838-9500

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689681983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 SISTER PIERRE DR",
            "address_2": "SUITE 407",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212047516",
            "telephone_number": "443-279-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 SISTER PIERRE DR",
            "address_2": "SUITE 407",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212047516",
            "telephone_number": "443-279-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIAVERELLI",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D0033734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

Verify at the official NPI Registry.