Individual provider Active NPI

Tamara Ann Cyzyk, LCSW-C

  • Mental Health Counselor
  • Bel Air, MD
National Provider Identifier
1821735960
Registry record updated May 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
13704 Issued in MD
Practice address
802 Baltimore Pike Ste 102
Bel Air, MD 21014-4212
Phone
(410) 273-2343
NPI assigned
May 19, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 13704 MD Primary

Addresses

Primary practice location

802 Baltimore Pike Ste 102
Bel Air, MD 21014-4212

Mailing address

205 E Joppa Rd Apt 406
Towson, MD 21286-3215
Phone (410) 949-7276

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

LicenseStateTypeSpecialty
13704MDMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1652918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652918400000",
    "number": "1821735960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 E JOPPA RD APT 406",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212863215",
            "telephone_number": "410-949-7276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 BALTIMORE PIKE STE 102",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144212",
            "telephone_number": "410-273-2343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CYZYK",
        "first_name": "TAMARA",
        "middle_name": "ANN",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-19",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "13704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bel Air, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.