Active NPI
Mary Nolan Musick, PH.D.
- Psychologist
- Columbia, MD
National Provider Identifier
1710903091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 1702
- Practice address
- 10001 Windstream Dr
Suite 905
Columbia, MD 21044-2594 - Phone
- (410) 997-3822
- Fax
- (410) 997-8582
- NPI assigned
- Jul 13, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 1702 | MD | Primary |
Addresses
Primary practice location
10001 Windstream Dr
Suite 905
Columbia, MD 21044-2594
Mailing address
10001 Windstream Dr
Suite 905
Columbia, MD 21044-2594
Phone (410) 997-3822
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1702 | MD | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1710903091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10001 WINDSTREAM DR",
"address_2": "SUITE 905",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210442594",
"telephone_number": "410-997-3822",
"fax_number": "410-997-8582"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10001 WINDSTREAM DR",
"address_2": "SUITE 905",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210442594",
"telephone_number": "410-997-3822",
"fax_number": "410-997-8582"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUSICK",
"first_name": "MARY",
"middle_name": "NOLAN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MD",
"license": "1702",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.