Individual provider Active NPI

Shahida Binti Mizan, MD

  • Psychiatry Physician
  • Baltimore, MD
National Provider Identifier
1972171080
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
D0102954 Issued in MD
Practice address
701 W Pratt St FL 4
Baltimore, MD 21201-1023
Phone
(410) 328-5881
NPI assigned
Jun 15, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X D0102954 MD Primary
Forensic Psychiatry Physician 2084F0202X D0102954 MD

Addresses

Primary practice location

701 W Pratt St FL 4
Baltimore, MD 21201-1023

Mailing address

701 W Pratt St FL 4
Baltimore, MD 21201-1023
Phone (410) 328-5881

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0102954MDMDStudent in an Organized Health Care Education/Training Program
0101279032VAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland Psychiatry Associates, PA Psychiatry PastSince Jul 16, 2023 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.

NPI Registry JSON

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

{
    "created_epoch": "1623715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782691200000",
    "number": "1972171080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 W PRATT ST FL 4",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011023",
            "telephone_number": "410-328-5881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 W PRATT ST FL 4",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011023",
            "telephone_number": "410-328-5881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIZAN",
        "first_name": "SHAHIDA",
        "middle_name": "BINTI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-15",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D0102954",
            "primary": true
        },
        {
            "code": "2084F0202X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "MD",
            "license": "D0102954",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.