DR. KASEY SERDAR (NPI# 1366865941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366865941 |
| Entity Type | Individual |
| Full Name | DR. KASEY SERDAR |
| Credential | PH.D. |
| Practice Address |
600 Wyndhurst Ave Baltimore MD 21210-2489 |
| Mailing Address |
30 Greenway St Nw Ste 5 Glen Burnie MD 21061-3557 |
| Practice Telephone | 8045036079 |
| Mailing Telephone | 4107609079 |
| Mailing Fax Number | 4107601121 |
| Enumeration Date | 2014-02-02 |
| Last Update Date | 2017-11-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | 05209 | MD | Behavioral Health & Social Service Providers |
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
05209 | MD | Behavioral Health & Social Service Providers |
| Street Address |
600 WYNDHURST AVE |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21210-2489 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124084363 | Sonia N Tyutyulkova | Psychiatry & Neurology | 600 Wyndhurst Ave, Ste 306b, Baltimore, MD 21210-2489 | 2006-04-25 |
| 1841793882 | Miriam F. Godfrey, Lcsw-c, LLC | Social Worker | 600 Wyndhurst Ave, Baltimore, MD 21210-2489 | 2018-03-15 |
| 1164967063 | Miriam Flavia Godfrey | Social Worker | 600 Wyndhurst Ave, Suite 225, Baltimore, MD 21210-2489 | 2016-12-31 |
| 1982147336 | Buchanan, Bird, & Nett, LLC | Psychologist | 600 Wyndhurst Ave, Suite 307 B, Baltimore, MD 21210-2489 | 2016-12-02 |
| 1629511654 | Abigail Patterson | Dietitian, Registered | 600 Wyndhurst Ave, Suite 245 G, Baltimore, MD 21210-2489 | 2016-11-22 |
| 1124487111 | Gladstone Psychiatry and Wellness | Psychiatry & Neurology | 600 Wyndhurst Ave, Suite 200a, Baltimore, MD 21210-2489 | 2016-02-18 |
| 1700260486 | Joanna Macht | Counselor | 600 Wyndhurst Ave, Suite 125, Baltimore, MD 21210-2489 | 2015-07-13 |
| 1558783209 | Melanie Beers | Dietitian, Registered | 600 Wyndhurst Ave, Suite 245g, Baltimore, MD 21210-2489 | 2014-01-15 |
| 1780922583 | Michael A Torres Md | Psychiatry & Neurology | 600 Wyndhurst Ave, Suite 160, Baltimore, MD 21210-2489 | 2013-01-29 |
| 1730433988 | Beverly Betz | Social Worker | 600 Wyndhurst Ave, Suite 225, Baltimore, MD 21210-2489 | 2012-11-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134758527 | Mechelle Suezette Norris | Physical Medicine & Rehabilitation | Loyola University Maryland Athletics, 4501 N Charles St., Baltimore, MD 21210 | 2020-04-07 |
| 1164086906 | Lee Ann Kingham | Psychologist | 4301 Roland Springs Drive, Baltimore, MD 21210 | 2019-04-26 |
| 1871070748 | Indigo Physiotherapy, LLC | Dietitian, Registered | 600 Wyndhurst Avenue, Suite 102, Baltimore, MD 21210 | 2018-07-24 |
| 1669994505 | Stephen J Condouris | Nurse Practitioner | 4544 Keswick Rd, Baltimore, MD 21210 | 2017-07-12 |
| 1477942555 | John Alan Singer | Surgery | 24 Roland Green, Baltimore, MD 21210 | 2015-01-13 |
| 1710306816 | David Schaffer | Specialist/Technologist | 4501 North Charles St., Loyola University, Baltimore, MD 21210 | 2014-04-16 |
| 1306121538 | Carrie Anne Runde | Naturopath | 4800 Roland Avenue, Suite 201, Baltimore, MD 21210 | 2011-10-19 |
| 1699057109 | Eugenia A Lombardi | Clinical Nurse Specialist | 4502a N Charles St., Baltimore, MD 21210 | 2011-09-12 |
| 1629394192 | Loch Raven Pharmacy Inc | Pharmacy | 200 West Cold Spring Lane, Baltimore, MD 21210 | 2010-04-09 |
| 1922249572 | Julie F. Sanz | Nurse Practitioner | 4502a N. Charles St., Shs, Baltimore, MD 21210 | 2009-03-11 |
| Find all providers in zip 21210 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255718821 | Kimberly M. Ewing | Psychologist | 711 W 40th St Ste 324, Baltimore, MD 21211-2109 | 2015-05-02 |
| 1649554601 | Laura Anderson | Psychologist | 701 W Pratt St Fl 2, Univ of Maryland Adult Outpatient Psychiatry, Baltimore, MD 21201-1023 | 2011-10-07 |
| 1376823369 | Melissa Erin Trevathan | Psychologist | 5209 York Rd Ste B12, Baltimore, MD 21212-4245 | 2011-08-22 |
| 1871881037 | Catherine Mary Sullivan-windt | Psychologist | 600 Wyndhurst Ave Ste 307a, Baltimore, MD 21210-2419 | 2011-07-21 |
| 1922156009 | Thomas T. Truss, Phd, PC | Psychologist | 200 S President St, Suite 403, Baltimore, MD 21202-4462 | 2007-01-08 |
| 1629186366 | Harvey Brown | Psychologist | 735 S Ann St, Baltimore, MD 21231-3402 | 2006-08-25 |
| 1720091044 | North Baltimore Center, Inc | Psychologist | 2225 N. Charles Street, Baltimore, MD 21218 | 2006-08-15 |
| 1770194169 | Malouf Counseling and Consulting LLC | Psychologist | 4800 Roland Ave Ste 301, Baltimore, MD 21210-2347 | 2020-08-11 |
| 1255959508 | Iesha Faison | Psychologist | 1014 W 36th St, Baltimore, MD 21211-2415 | 2020-07-13 |
| 1710521216 | Catherine Sullivan-windt Ph.d., LLC | Psychologist | 600 Wyndhurst Ave Ste 307a, Baltimore, MD 21210-2419 | 2019-10-29 |
| Find all providers in BALTIMORE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.