Organization Active NPI

Michael a Torres MD

  • Psychiatry Physician
  • Owings Mills, MD
National Provider Identifier
1780922583
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
D42382 Issued in MD
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

Updated by the provider on Aug 20, 2024

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)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
335616700MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130315000101 MD Part B Supplier - Clinic/Group Practice 9133364409 Practice locations: Roland Park, MD

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.