Organization Active NPI

Harvey L Gewanter PHD and Associates

  • Clinical Psychologist
  • Baltimore, MD
National Provider Identifier
1912051210
Registry record updated Feb 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
02663 Issued in MD
Legal business name
HARVEY L GEWANTER PHD AND ASSOCIATES
Practice address
6918 Ridge Rd
Baltimore, MD 21237-3854
Phone
(410) 764-8209
NPI assigned
Jan 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2012

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

Authorized official

Name
Dr. Harvey Gewanter, PHDNPI 1255485546
Title
Owner
Phone
(410) 764-8209

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
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 02663 MD Primary

Addresses

Primary practice location

6918 Ridge Rd
Baltimore, MD 21237-3854

Mailing address

6918 Ridge Rd
Baltimore, MD 21237-3854
Phone (410) 764-8209

Other identifiers 1

IdentifierTypeStateIssuer
496300800MedicaidMD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120210000471 MD Part B Supplier - Clinic/Group Practice 5597922047 Receives reassigned benefits from 2 practitioners
Practice locations: Baltimore, MD

National Provider Directory

National Provider Directory

Locations

2833 Smith Ave
Ste 430
Baltimore, MD 21209
Phone (410) 686-9800

6918 Ridge Rd
Ste 2
Baltimore, MD 21237
Phone (410) 686-9800

Practitioners & affiliated clinicians

Practitioners 2

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": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328659200000",
    "number": "1912051210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6918 RIDGE RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212373854",
            "telephone_number": "410-764-8209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6918 RIDGE RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212373854",
            "telephone_number": "410-764-8209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARVEY L GEWANTER PHD AND ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2012-02-08",
        "status": "A",
        "authorized_official_last_name": "GEWANTER",
        "authorized_official_first_name": "HARVEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-764-8209",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "02663",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "496300800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.