Active NPI
Michael a Torres MD
- Psychiatry Physician
- Owings Mills, MD
National Provider Identifier
1780922583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- D42382
- Legal business name
- MICHAEL A TORRES MD
- Practice address
- 4710 Eiderdown CT Ste 160
Owings Mills, MD 21117-6222 - Phone
- (410) 617-0605
- Fax
- (855) 740-1530
- NPI assigned
- Jan 29, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael A Torres Sr., MD
- Title
- Owner
- Phone
- (410) 617-0605
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | D42382 | MD | Primary |
Addresses
Primary practice location
4710 Eiderdown CT Ste 160
Owings Mills, MD 21117-6222
Mailing address
600 Wyndhurst Ave
Suite 160
Baltimore, MD 21210-2489
Phone (410) 617-0605
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 335616700 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130315000101 | MD | Part B Supplier - Clinic/Group Practice | 9133364409 | Practice locations: Roland Park, MD |
National Provider Directory
National Provider DirectoryLocations
600 Wyndhurst Ave
Ste 160
Roland Park, MD 21210
Phone (410) 340-6390
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359417600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1724112000000",
"number": "1780922583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 WYNDHURST AVE",
"address_2": "SUITE 160",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212102489",
"telephone_number": "410-617-0605",
"fax_number": "443-773-1406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4710 EIDERDOWN CT STE 160",
"city": "OWINGS MILLS",
"state": "MD",
"postal_code": "211176222",
"telephone_number": "410-617-0605",
"fax_number": "855-740-1530"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHAEL A TORRES MD",
"organizational_subpart": "NO",
"enumeration_date": "2013-01-29",
"last_updated": "2024-08-20",
"certification_date": "2024-08-20",
"status": "A",
"authorized_official_last_name": "TORRES",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "410-617-0605",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Sr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MD",
"license": "D42382",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "335616700",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
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 Aug 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.