Ellen Marie Mongan, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

D0065840 Issued in MD

Practice address

6701 N Charles St Ste 4104
Baltimore, MD 21204-6808

Phone

(410) 938-5382

Fax

(410) 938-4806

NPI assigned

Mar 6, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jul 1, 2024 through Jul 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580169600000",
    "number": "1790815074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5391",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212090391",
            "telephone_number": "410-929-4617",
            "fax_number": "855-234-9097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 N CHARLES ST STE 4104",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212046808",
            "telephone_number": "410-938-5382",
            "fax_number": "410-938-4806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONGAN",
        "first_name": "ELLEN",
        "middle_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D0065840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Mondrow, OT
• Money Talks Baltimore, LLC
• Kristina D Money, M.D.
• Ray Stirba Moneypenny, LCSW-C
• Chelsea Mongan, CRNP
• Sherri L Mongeon, CRNP-A
• Anna Monias
• Janaye Monica
• Despina Moniodis
• Constance L Monitto, M.D.

• Psychiatry Physician in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Psychiatry Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.