Individual provider Active NPI

Mary Deirdre Johnston, MD

  • Geriatric Psychiatry Physician
  • Baltimore, MD
National Provider Identifier
1881670958
Registry record updated Sep 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X
License
9500105 Issued in NC
Practice address
600 N Wolfe Street
Johns Hopkins University School of Medicine
Baltimore, MD 21287-7279
Phone
(410) 955-5147
NPI assigned
Dec 20, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Psychiatry Physician 2084P0805X 9500105 NC Primary

Addresses

Primary practice location

600 N Wolfe Street
Johns Hopkins University School of Medicine
Baltimore, MD 21287-7279

Mailing address

9910 Franklin Square Drive Suite 2110
Johns Hopkins University Reimbursement Coordinator
White Marsh, MD 21236-4902
Phone (410) 933-2718

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
I20060302000323 MD Practitioner - Psychiatry 6507872330 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9500105NCMDGeriatric Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Johns Hopkins University CurrentSince Jan 1, 2006 Accepting new patients
Johns Hopkins University CurrentSince Jan 1, 2006 Accepting new patients
Johns Hopkins University Current Accepting new patients
Integrace Health Inc Past Accepting new patients

Locations

600 N Wolfe St
Baltimore, MD 21287

10755 Falls Rd
Timonium, MD 21093
Phone (410) 583-2727

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347926400000",
    "number": "1881670958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9910 FRANKLIN SQUARE DRIVE SUITE 2110",
            "address_2": "JOHNS HOPKINS UNIVERSITY REIMBURSEMENT COORDINATOR",
            "city": "WHITE MARSH",
            "state": "MD",
            "postal_code": "212364902",
            "telephone_number": "410-933-2718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N WOLFE STREET",
            "address_2": "JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212877279",
            "telephone_number": "410-955-5147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "MARY",
        "middle_name": "DEIRDRE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-20",
        "last_updated": "2012-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "NC",
            "license": "9500105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.