DR. SUSAN GAYLE LARSON (NPI# 1386735256) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386735256 |
| Entity Type | Individual |
| Full Name | DR. SUSAN GAYLE LARSON |
| Credential | M.D. |
| Practice Address |
3300 Gaither Rd Baltimore MD 21244-2916 |
| Mailing Address |
1120 August Dr Annapolis MD 21403-4613 |
| Practice Telephone | 4109222100 |
| Practice Fax Number | 4104965620 |
| Mailing Telephone | 4102680036 |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
D0050306 | MD | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578934741 | Susan Larson | Speech-Language Pathologist | 1022 Pioneer Trl, Bayport, MN 55003-1608 | 2015-10-14 |
| 1184835308 | Susan Larson | Occupational Therapist | 15357 W Wildwood Ct, Libertyville, IL 60048-1496 | 2007-05-28 |
| 1447461637 | Susan Piros Larson | Preventive Medicine | 1020 Serpentine Ln Ste 115, Pleasanton, CA 94566-4758 | 2007-05-27 |
| 1073072443 | Susan P Larson | Registered Nurse | 1411 E 31st St, Oakland, CA 94602-1018 | 2019-03-15 |
| 1043724974 | Susan Genevieve Larson | Dietitian, Registered | 2475 E Broadway St, Helena, MT 59601-4928 | 2017-11-30 |
| 1437427754 | Susan Madeleine Larson | Physical Therapist | 1601 E 19th Ave, Suite 5500 N2pt, Denver, CO 80218-1216 | 2011-12-01 |
| 1780831305 | Susan Larson | Occupational Therapist | 103 Washington St, Elmira, NY 14901-3220 | 2008-08-26 |
| 1336125632 | Susan A Larson | Pediatrics | 2550 S Parker Rd, Ste 206, Aurora, CO 80014-1622 | 2005-12-19 |
| 1003806795 | Susan Manz Larson | Physical Medicine & Rehabilitation | 2424 S 90th St, Suite 500, West Allis, WI 53227-2455 | 2005-10-25 |
| Street Address |
3300 GAITHER RD |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21244-2916 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760881411 | Shayntelle Kiyoko Moore | Nurse Practitioner | 3300 Gaither Rd, Baltimore, MD 21244-2916 | 2014-08-19 |
| 1134310691 | Board of Child Care | Counselor | 3300 Gaither Rd, Baltimore, MD 21244-2916 | 2007-08-08 |
| 1437353513 | Board of Childcare of The United Methodist Church Inc | Community/Behavioral Health | 3300 Gaither Rd, Baltimore, MD 21244-2916 | 2007-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235748468 | Sinnai Behavioral Health Services Inc | Psychiatric Residential Treatment Facility | 3610 Milford Road, Third Floor, Baltimore, MD 21244 | 2020-07-23 |
| 1023655370 | Flourish Healthcare Solutions, LLC | Home Health Aide | 3517 Langrehr Road, Suite 106a, Windsor Hill, MD 21244 | 2019-12-05 |
| 1265078471 | Chika Cares Pre-diabetes Workshop LLC | Public Health or Welfare | St Gabriel Church, 6950 Dogwood Rd, Windsor Mill, MD 21244 | 2019-11-22 |
| 1306318761 | Elana Rose Dorfman | Social Worker | 7205 Rutherford Road, Windsor Mill, MD 21244 | 2018-12-26 |
| 1235618406 | Stacy Solte Antonio | Physical Therapy Assistant | 7141 Security Blvd., Woodlawn, MD 21244 | 2018-08-08 |
| 1831675446 | Martha Marie Brown | Behavior Technician | 7901 Subet Rd, Windsor Mill, MD 21244 | 2018-07-17 |
| 1003306671 | Bk Faithful Enterprises Consulting, LLC | Dentist | 3120 Lord Baltimore Dr Ste 100, Baltimore, MD 21244 | 2018-05-18 |
| 1235640475 | Kingsley Awah | Home Health Aide | 7932 Dunhill Village Cir, Windsor Mill, Baltimore, MD 21244 | 2017-10-16 |
| 1316465917 | Elizabeth Duggan | Occupational Therapist | 7141 Security Blvd, Md 21244, Baltimore, MD 21244 | 2017-09-03 |
| 1326565052 | Latoya Womack | Registered Nurse | 7102 Burford Ct Apt 301, Windsor Mill, MD 21244 | 2017-08-24 |
| Find all providers in zip 21244 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578979951 | Sa Eun Park | Psychiatry & Neurology | 1800 Orleans St Fl Center12, Baltimore, MD 21287-0010 | 2014-07-07 |
| 1275978165 | Advanced Behavioral Health, Inc. | Psychiatry & Neurology | 5820 York Rd Ste 202, Baltimore, MD 21212-3620 | 2013-05-06 |
| 1902171374 | Coleen Marie Schrepfer | Psychiatry & Neurology | 1501 Sulgrave Ave Ste 200, Baltimore, MD 21209 | 2012-03-18 |
| 1639366032 | Joseph S Bierman | Psychiatry & Neurology | 2 Olmstead Green Ct, Baltimore, MD 21210-1508 | 2007-09-28 |
| 1790905826 | Carla Stephanie Brown | Psychiatry & Neurology | 6501 N Charles Street, Baltimore, MD 21285-6815 | 2007-04-30 |
| 1093861221 | Evanne Loh Hoehn-saric | Psychiatry & Neurology | 2700 Washington Ave, Baltimore, MD 21227-3115 | 2007-01-29 |
| 1194767491 | Roma Vasa | Psychiatry & Neurology | 3901 Greenspring Ave, Kennedy Krieger Institute, Deptartment of Psychiatry, Baltimore, MD 21211 | 2006-06-12 |
| 1639701956 | Johns Hopkins Bayview Medical Center, Inc. | Psychiatry & Neurology | 5500 E Lombard St Rm 1025, Baltimore, MD 21224-1731 | 2020-02-05 |
| 1265951404 | Faye Park | Psychiatry & Neurology | 716 N Broadway, Baltimore, MD 21205-1806 | 2017-09-19 |
| 1245625318 | Raheela Sultan | Psychiatry & Neurology | 1501 Sulgrave Ave Ste 200, Baltimore, MD 21209-3650 | 2015-04-05 |
| 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.