Active NPI
Ricky Mathis Stinson II
- Speech-Language Pathologist
- Towson, MD
National Provider Identifier
1740587658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 06306
- Practice address
- 100 E Pennsylvania Ave
Towson, MD 21286-0704 - Phone
- (410) 825-9445
- NPI assigned
- Feb 13, 2011
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 06306 | MD | Primary |
Addresses
Primary practice location
100 E Pennsylvania Ave
Towson, MD 21286-0704
Mailing address
100 E Pennsylvania Ave
Towson, MD 21286-0704
Phone (410) 825-9445
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06306 | MD | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297555200000",
"number": "1740587658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 E PENNSYLVANIA AVE",
"city": "TOWSON",
"state": "MD",
"postal_code": "212860704",
"telephone_number": "410-825-9445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 E PENNSYLVANIA AVE",
"city": "TOWSON",
"state": "MD",
"postal_code": "212860704",
"telephone_number": "410-825-9445"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STINSON",
"first_name": "RICKY",
"middle_name": "MATHIS",
"name_prefix": "Mr.",
"name_suffix": "II",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-02-13",
"last_updated": "2011-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MD",
"license": "06306",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Towson, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 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.