Individual provider Active NPI

Josef Christian Witt-Doerring, MD

  • Psychiatry Physician
  • Ellicott City, MD
National Provider Identifier
1851778344
Registry record updated Oct 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
D0087003 Issued in MD
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

Updated by the provider on Oct 30, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
D0087003MDMDPsychiatry Physician
MD468491PAMDPsychiatry Physician
S3340TXMDPsychiatry 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

Verify at the official NPI Registry.