ANNA MARIE GONZAGA M.D. NPI 1013960608

NPI Information

NPI: 1013960608
Provider Name: ANNA MARIE GONZAGA, M.D.
Classification: Psychiatry & Neurology - 2084P0804X
Entity Type: Individual

Specialization: Child & Adolescent Psychiatry

PECOS Registration: Yes

Address:
4940 EASTERN AVE
BALTIMORE, MD
ZIP 21224
Phone: (410) 550-0016
Get Directions

Anna Marie Gonzaga, M.D. is a child and adolescent psychiatry psychiatry neurology in Baltimore, MD. The provider is 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. Anna Marie Gonzaga, M.D. NPI is 1013960608. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4940 EASTERN AVE
BALTIMORE, MD
ZIP 21224-735
Phone: (410) 550-0016

The NPI 1013960608 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/18/2006 and was last updated on 1/23/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084P0800X	Psychiatry & Neurology	Psychiatry	D57544	MARYLAND	No
2	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	D57544	MARYLAND	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	402634900	MEDICAID	MARYLAND
2	K320K678	MEDICARE PIN	MARYLAND
3	H90209	MEDICARE UPIN	MARYLAND
4	H897G768	MEDICARE PIN	MARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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