Organization Active NPI

Peace 4 Minds, P.C.

  • Psychiatry Physician
  • Ellicott City, MD
National Provider Identifier
1861836439
Registry record updated Mar 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
D0035601 Issued in MD
Legal business name
PEACE 4 MINDS, P.C.
Practice address
3545 Ellicott Mills Dr Ste B1
Ellicott City, MD 21043-4591
Phone
(443) 542-8042
NPI assigned
Apr 25, 2013
Last updated
Mar 22, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2014

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

Authorized official

Name
Joseph Griffin, M.D.NPI 1811996366
Title
President
Phone
(443) 542-8042

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X D0035601 MD Primary

Addresses

Primary practice location

3545 Ellicott Mills Dr Ste B1
Ellicott City, MD 21043-4591

Mailing address

3545 Ellicott Mills Dr Ste B1
Ellicott City, MD 21043-4591
Phone (443) 542-8042

National Provider Directory

National Provider Directory

Locations

3545 Ellicott Mills Dr
Ste B1
Ellicott City, MD 21043
Phone (410) 530-9538

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1366848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395446400000",
    "number": "1861836439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3545 ELLICOTT MILLS DR STE B1",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210434591",
            "telephone_number": "443-542-8042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3545 ELLICOTT MILLS DR STE B1",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210434591",
            "telephone_number": "443-542-8042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACE 4 MINDS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-25",
        "last_updated": "2014-03-22",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "443-542-8042",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D0035601",
            "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 Mar 22, 2014; 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.