Active NPI
Josef Christian Witt-Doerring, MD
- Psychiatry Physician
- Ellicott City, MD
National Provider Identifier
1851778344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- D0087003
- Practice address
- 10045 Baltimore National Pike # A71116
Ellicott City, MD 21042-3673 - Phone
- (512) 956-8243
- NPI assigned
- May 4, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | S3340 | TX | |
| Psychiatry Physician | 2084P0800X | MD468491 | PA | |
| Psychiatry Physician | 2084P0800X | D0087003 | MD | Primary |
Addresses
Primary practice location
10045 Baltimore National Pike # A71116
Ellicott City, MD 21042-3673
Mailing address
10045 Baltimore National Pike # A71116
Ellicott City, MD 21042-3673
Phone (512) 956-8243
Other practice location 1
1977 Butler Blvd.
BCM Menninger Dept. of Psychiatry and Behavioral Scienc
Houston, TX 77030
Phone (713) 798-7872
Other practice location 2
1427 Vine St Fl 8
Philadelphia, PA 19102-1040
Phone (215) 831-7800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jun 9, 2023 through Jun 9, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0087003 | MD | MD | Psychiatry Physician |
| MD468491 | PA | MD | Psychiatry Physician |
| S3340 | TX | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604016000000",
"number": "1851778344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10045 BALTIMORE NATIONAL PIKE # A71116",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210423673",
"telephone_number": "512-956-8243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10045 BALTIMORE NATIONAL PIKE # A71116",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210423673",
"telephone_number": "512-956-8243"
}
],
"practiceLocations": [
{
"address_1": "1977 Butler Blvd.",
"address_2": "BCM Menninger Dept. of Psychiatry and Behavioral Scienc",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "77030",
"country_code": "US",
"telephone_number": "713-798-7872",
"fax_number": "713-798-1479",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1427 Vine St Fl 8",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191021040",
"country_code": "US",
"telephone_number": "215-831-7800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WITT-DOERRING",
"first_name": "JOSEF",
"middle_name": "CHRISTIAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-05-04",
"last_updated": "2020-10-30",
"certification_date": "2020-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "S3340",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "PA",
"license": "MD468491",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MD",
"license": "D0087003",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ellicott City, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.