Individual provider Active NPI

Robert Timothy Paine, D.O.

  • Psychiatry Physician
  • Bel Air, MD
National Provider Identifier
1780974345
Registry record updated Feb 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
H0077392 Issued in MD
Practice address
1212 E Churchville Rd Ste 200
Bel Air, MD 21014-3481
Phone
(410) 428-0018
Fax
(571) 260-5193
NPI assigned
Apr 15, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X H0077392 MD Primary

Addresses

Primary practice location

1212 E Churchville Rd Ste 200
Bel Air, MD 21014-3481

Mailing address

3203 Rolling Green Dr
Churchville, MD 21028-1311
Phone (304) 807-5522

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Dec 1, 2025 through Dec 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland Psychiatry Associates PA PastSince Oct 12, 2025 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: rpaine105194@direct.umm.edu

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1302825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708560000000",
    "number": "1780974345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3203 ROLLING GREEN DR",
            "city": "CHURCHVILLE",
            "state": "MD",
            "postal_code": "210281311",
            "telephone_number": "304-807-5522",
            "fax_number": "571-260-5193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 E CHURCHVILLE RD STE 200",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210143481",
            "telephone_number": "410-428-0018",
            "fax_number": "571-260-5193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAINE",
        "first_name": "ROBERT",
        "middle_name": "TIMOTHY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-15",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "H0077392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bel Air, MD

Sources for this page

Verify at the official NPI Registry.