Maciej Chodynicki MD LLC

Primary specialty

Addiction Psychiatry PhysicianTaxonomy code 2084P0802X

License

D0063080 Issued in MD

Legal business name

MACIEJ CHODYNICKI MD LLC

Practice address

1122 Kenilworth Dr Ste 403
Towson, MD 21204-2147

Phone

(443) 762-1683

NPI assigned

Dec 13, 2011

Organization subpart

No

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

Authorized official

Name

Maciej Chodynicki, M.D.

Title

Owner

Phone

(443) 762-1683

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1323734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323734400000",
    "number": "1699043133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 KENILWORTH DR STE 403",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212042147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 KENILWORTH DR STE 403",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212042147",
            "telephone_number": "443-762-1683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACIEJ CHODYNICKI MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-13",
        "last_updated": "2011-12-13",
        "status": "A",
        "authorized_official_last_name": "CHODYNICKI",
        "authorized_official_first_name": "MACIEJ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-762-1683",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0802X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "MD",
            "license": "D0063080",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "408237100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather Lyons, PH.D.
• Kerri Lynn Lyons
• Merrily Lyons, MSAT,ATC,LAT,FRCMS
• M. Michael Massumi, M.D., P.a.
• Sarah Frances Hearn Macdonald, CSC-AD
• Christina Nicole Mack, M.D.
• Richard A Mackey, MD
• Warren H. Macleod, CRNA
• Marilyn Macnguyen, MD
• Maria Madden, M.A.

• Addiction Psychiatry Physician in Towson, MD
• Providers in Towson, MD by specialty
• Addiction Psychiatry Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.

Verify at the official NPI Registry.