Active NPI
Jay A Phillips, M.D.
- Psychiatry Physician
- Baltimore, MD
National Provider Identifier
1942451802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- D17985
- Practice address
- 2 Hamill Rd Ste 341
Baltimore, MD 21210-1874 - Phone
- (410) 433-0400
- Fax
- (443) 708-0419
- NPI assigned
- Oct 8, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | D17985 | MD | Primary |
Addresses
Primary practice location
2 Hamill Rd Ste 341
Baltimore, MD 21210-1874
Mailing address
2 Hamill Rd Ste 341
Baltimore, MD 21210-1874
Phone (410) 433-0400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D17985 | MD | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Maryland Psychiatry Associates, PA | Psychiatry | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Psychiatry Physician
- Baltimore, MD
- NPI 1649292699
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": "1388880000000",
"number": "1942451802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 HAMILL RD STE 341",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212101874",
"telephone_number": "410-433-0400",
"fax_number": "443-708-0419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 HAMILL RD STE 341",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212101874",
"telephone_number": "410-433-0400",
"fax_number": "443-708-0419"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "JAY",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-10-08",
"last_updated": "2014-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MD",
"license": "D17985",
"primary": true
}
],
"identifiers": [],
"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 Jan 5, 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.