Individual provider Active NPI

Lawrence Warren Adler, MD

  • Psychiatry Physician
  • Glen Burnie, MD
National Provider Identifier
1871681189
Registry record updated Dec 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
D19454 Issued in MD
Practice address
7310 Ritchie Highway
#512
Glen Burnie, MD 21061
Phone
(410) 761-7042
Fax
(410) 761-7984
NPI assigned
Oct 11, 2006
Last updated
Dec 10, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X D19454 MD Primary

Addresses

Primary practice location

7310 Ritchie Highway
#512
Glen Burnie, MD 21061

Mailing address

1307 Crain Hwy S
Glen Burnie, MD 21061-4024
Phone (410) 761-7042

Other identifiers 2

IdentifierTypeStateIssuer
404484300MedicaidMD
401381600MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110114000062 MD Practitioner - PsychiatryPractitioner - Geriatric Psychiatry 7113071986 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Geriatric Psychiatry
Education
University of Maryland School of Medicine, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1307 Crain Hwy S
Glen Burnie, MD 21061-4024
Phone (410) 761-7042

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Lawrence W. Adler MD PA CurrentSince Jan 1, 1998 Accepting new patients
Lawrence W. Adler, M.D., P.a. Current Accepting new patients
Psych Associates of Maryland LLC Psychiatry CurrentSince Jul 1, 2020 Accepting new patients

Locations

9520 Berger Rd
Ste 203
Columbia, MD 21046
Phone (410) 290-6940

1307 Crain Hwy S
Glen Burnie, MD 21061
Phone (410) 761-7042

7310 Ritchie Hwy
Ste 512
Glen Burnie, MD 21061
Phone (410) 761-7042

2331 York Rd
Ste 100
Timonium, MD 21093

120 Sister Pierre Dr
Ste 403
Towson, MD 21204

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575936000000",
    "number": "1871681189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 CRAIN HWY S",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210614024",
            "telephone_number": "410-761-7042",
            "fax_number": "410-761-7984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7310 RITCHIE HIGHWAY",
            "address_2": "#512",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "21061",
            "telephone_number": "410-761-7042",
            "fax_number": "410-761-7984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADLER",
        "first_name": "LAWRENCE",
        "middle_name": "WARREN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2019-12-10",
        "certification_date": "2019-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D19454",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "404484300",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "401381600",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

Verify at the official NPI Registry.