Organization Active NPI

Daniel J. Levy, MD, PA

  • Urgent Care Clinic/Center
  • Owings Mills, MD
National Provider Identifier
1710429188
Registry record updated Feb 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
DANIEL J. LEVY, MD, PA
Doing business as
THE CHILD AND TEEN WELLNESS CENTER
Practice address
10085 Red Run Blvd
Suite 201
Owings Mills, MD 21117-4836
Phone
(410) 363-1843
NPI assigned
Nov 16, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2017

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

Authorized official

Name
Daniel J Levy, M.D.
Title
President
Phone
(410) 363-1843

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Adolescent and Children Mental Health Clinic/Center 261QM0855X
Urgent Care Clinic/Center 261QU0200X MD Primary

Addresses

Primary practice location

10085 Red Run Blvd
Suite 201
Owings Mills, MD 21117-4836

Mailing address

10085 Red Run Blvd
Suite 201
Owings Mills, MD 21117-4836
Phone (410) 363-1843

Other identifiers 1

IdentifierTypeStateIssuer
5589410P00MedicaidMD

Other names 1

  • THE CHILD AND TEEN WELLNESS CENTER Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Daniel J Levy MD PA3 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.

Locations

10085 Red Run Blvd
Ste 201
Owings Mills, MD 21117
Phone (410) 363-1843

NPI Registry JSON

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

{
    "created_epoch": "1479254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486512000000",
    "number": "1710429188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10085 RED RUN BLVD",
            "address_2": "SUITE 201",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211174836",
            "telephone_number": "410-363-1843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10085 RED RUN BLVD",
            "address_2": "SUITE 201",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211174836",
            "telephone_number": "410-363-1843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL J. LEVY, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-16",
        "last_updated": "2017-02-08",
        "status": "A",
        "authorized_official_last_name": "LEVY",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-363-1843",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5589410P00",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE CHILD AND TEEN WELLNESS CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Owings Mills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2017; 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.