Individual provider Active NPI

Constance Nicole Flanagan, MD

  • Child & Adolescent Psychiatry Physician
  • Glen Burnie, MD
National Provider Identifier
1891946810
Registry record updated Jul 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
D0072974 Issued in MD
Practice address
122 Langley Rd N
Suite a
Glen Burnie, MD 21060-6531
Phone
(410) 222-6785
NPI assigned
Oct 8, 2008
Last updated
Jul 17, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X D0072974 MD Primary

Addresses

Primary practice location

122 Langley Rd N
Suite a
Glen Burnie, MD 21060-6531

Mailing address

4840 Joyful Way
Apt D
Ellicott City, MD 21043-8042
Phone (202) 536-5016

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20111213000542 MD Practitioner - Psychiatry 5991970345 Reassigns benefits to 2 organizations
I20120127000097 DC Practitioner - Psychiatry 5991970345 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Howard University College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Volunteers of America Chesapeake IncGroup PAC ID 0749326064, shared by 2 NPIs, 5 clinicians

Practice addresses (Care Compare)

3108 Lord Baltimore Dr
Suite 108
Windsor Mill, MD 21244-5807
Phone (301) 955-9473

508 Kennedy St NW
FL 2
Washington, DC 20011-3010
Phone (301) 851-1040

7505 Greenway Ctr Dr
Suite 201
Greenbelt, MD 20770-3507
Phone (301) 851-1040

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Volunteers of America Chesapeake & Carolinas, Inc. Current Accepting new patients
Volunteers of America Chesapeake Inc Current Accepting new patients
Volunteers of America Chesapeake & Carolinas, Inc. CurrentSince Dec 2, 2020 Accepting new patients
Volunteers of America Chesapeake & Carolinas, Inc. CurrentSince Dec 2, 2020 Accepting new patients
University of Maryland Psychiatry Associates, PA CurrentSince Aug 23, 2015 Accepting new patients

Locations

701 W Pratt St
Baltimore, MD 21201
Phone (410) 328-5881

7901 Annapolis Rd
Lanham, MD 20706
Phone (301) 459-2929

3108 Lord Baltimore Dr
Ste 108
Windsor Mill, MD 21244
Phone (301) 395-7490

Interoperability endpoints

  • Direct secure messaging: cflanagan7040@direct.umm.edu

Organizations & group practices 5

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": "1223424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437091200000",
    "number": "1891946810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4840 JOYFUL WAY",
            "address_2": "APT D",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210438042",
            "telephone_number": "202-536-5016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 LANGLEY RD N",
            "address_2": "SUITE A",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210606531",
            "telephone_number": "410-222-6785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLANAGAN",
        "first_name": "CONSTANCE",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-08",
        "last_updated": "2015-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "MD",
            "license": "D0072974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

Verify at the official NPI Registry.