Individual provider Active NPI

Nazli Emadi, MD PHD

  • Psychiatry Physician
  • Baltimore, MD
National Provider Identifier
1962880245
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
D0088101 Issued in MD
Practice address
1501 Sulgrave Ave Ste 202
Baltimore, MD 21209-3650
Phone
(410) 881-2106
Fax
(949) 437-8503
NPI assigned
May 7, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2024

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 D0088101 MD Primary

Addresses

Primary practice location

1501 Sulgrave Ave Ste 202
Baltimore, MD 21209-3650

Mailing address

9603 Deereco Road, #5574
Lutherville, MD 21094-7585
Phone (410) 881-2106

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
I20200115001150 MD Practitioner - Psychiatry 3678885712 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nazli Emadi, LLCGroup PAC ID 2567853625, 2 clinicians

Practice addresses (Care Compare)

1501 Sulgrave Ave
Suite 202
Baltimore, MD 21209-3650
Phone (410) 881-2106

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0088101MDMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nazli Emadi LLC CurrentSince Nov 24, 2021 Accepting new patients
Psych Associates of Maryland LLC Psychiatry CurrentSince Jan 15, 2020 Accepting new patients

Locations

1501 Sulgrave Ave
Ste 202
Baltimore, MD 21209
Phone (410) 881-2106

10808 Hickory Ridge Rd
Columbia, MD 21044
Phone (410) 730-8877

2331 York Rd
Ste 100
Timonium, MD 21093

120 Sister Pierre Dr
Ste 403
Towson, MD 21204

Organizations & group practices 2

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": "1430956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1962880245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9603 DEERECO ROAD, #5574",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210947585",
            "telephone_number": "410-881-2106",
            "fax_number": "949-437-8503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 SULGRAVE AVE STE 202",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212093650",
            "telephone_number": "410-881-2106",
            "fax_number": "949-437-8503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMADI",
        "first_name": "NAZLI",
        "credential": "MD PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-07",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D0088101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.