MACIEJ CHODYNICKI MD LLC (NPI# 1699043133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699043133 |
| Entity Type | Organization |
| Organization Name | MACIEJ CHODYNICKI MD LLC |
| Practice Address |
1122 Kenilworth Dr Ste 403 Towson MD 21204-2147 |
| Practice Telephone | 4437621683 |
| Enumeration Date | 2011-12-13 |
| Last Update Date | 2011-12-13 |
| Authorized Official Name | MACIEJ CHODYNICKI (OWNER) |
| Authorized Official Telephone | 4437621683 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0802X |
Psychiatry & Neurology Specialization: Addiction Psychiatry |
D0063080 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 408237100 | 05 |
| Street Address |
1122 KENILWORTH DR STE 403 |
| City | TOWSON |
| State | MD |
| Zip Code | 21204-2147 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194347575 | Sheppard Pratt Non Contracted Services, LLC | Psychiatry & Neurology | 6525 N. Charles Street, Gibson Building, Towson, MD 21204 | 2020-05-08 |
| 1578104428 | Debra James | Counselor | 6901 N. Charles Street, Towson, MD 21204 | 2019-10-02 |
| 1235696808 | Sarita Hinton | Social Worker | 300 Allegheny Ave Ste 101, Baltimore, MD 21204 | 2019-03-01 |
| 1952883159 | Peace,llc | Social Worker | 304 W. Chesapeake Ave, Towson, MD 21204 | 2018-09-04 |
| 1841772654 | Hannah Kimberly Jefferson | Acupuncturist | 7407 York Road, Towson, MD 21204 | 2018-08-29 |
| 1699255216 | Samantha Ann Rogers | Nurse Practitioner | 222 Bosley Avenue, Suite C3, Towson, MD 21204 | 2018-08-14 |
| 1750867560 | Angela Michelle Hester | Nurse Practitioner | 6525 N Charles St #085, Towson, MD 21204 | 2018-07-15 |
| 1043729098 | Communication Apptitude Inc. | Speech-Language Pathologist | 7400 York Road, Suite 231, Towson, MD 21204 | 2017-09-21 |
| 1679090203 | Brian Dougherty | Acupuncturist | 800 Kenilworth Dr, Ste# 828, Towson, MD 21204 | 2017-08-24 |
| 1659891976 | Erin Mcgovern | Specialist/Technologist | Towson Sports Medicine 8322 Bellona Ave, Suite Number 100, Baltimore, MD 21204 | 2017-06-27 |
| Find all providers in zip 21204 | ||||
| Taxonomy Code | 2084P0802X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Psychiatry |
| Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346736626 | More With Doc C, LLC | Psychiatry & Neurology | 72 Greene Street, Cumberland, MD 21502-2150 | 2018-07-10 |
| 1053713701 | Hilm Medical Center LLC | Psychiatry & Neurology | 11219 Lockwood Dr, Silver Spring, MD 20901-4550 | 2014-09-24 |
| 1245352897 | Harold Israel Eist | Psychiatry & Neurology | 5515 Grosvenor Lane, Bethesda, MD 20814 | 2007-04-04 |
| 1841338027 | Joseph Clement Boschulte | Psychiatry & Neurology | 3680 Warwick Road, East New Market, MD 21631 | 2007-02-01 |
| 1073664181 | Denis Antoine II | Psychiatry & Neurology | 5510 Nathan Shock Drive, Baltimore, MD 21224 | 2007-01-15 |
| 1215000336 | Allison Ann Marie Malcolm | Psychiatry & Neurology | 6655 Sykesvile Rd, Sykesville, MD 21784-0249 | 2006-11-16 |
| 1972100402 | Exodus Behavioral Health, LLC | Psychiatry & Neurology | 700 Washington Blvd, Baltimore, MD 21230-2350 | 2020-10-07 |
| 1255954400 | Debobeth Medical Center | Psychiatry & Neurology | 3107-3109 Erdman Avenue, Baltimore, MD 21213 | 2020-05-22 |
| 1740816537 | American Psychiatric Group Pa | Psychiatry & Neurology | 10632 Little Patuxent Pkwy Ste 104, Columbia, MD 21044-6217 | 2020-03-12 |
| 1467087031 | Debobeth Medical Center | Psychiatry & Neurology | 3109 Erdman Ave, Baltimore, MD 21213-1719 | 2020-03-04 |
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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.