Provider Demographics
NPI:1588893648
Name:NOTHMANN & ASSOCIATES, P.A.
Entity type:Organization
Organization Name:NOTHMANN & ASSOCIATES, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:NOTHMANN
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:443-394-0768
Mailing Address - Street 1:66 PAINTER'S MILL ROAD
Mailing Address - Street 2:STE. 204
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-3657
Mailing Address - Country:US
Mailing Address - Phone:443-394-0768
Mailing Address - Fax:443-394-0345
Practice Address - Street 1:66 PAINTER'S MILL ROAD
Practice Address - Street 2:STE. 204
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117-3657
Practice Address - Country:US
Practice Address - Phone:443-394-0768
Practice Address - Fax:443-394-0345
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-10
Last Update Date:2010-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD3666103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD419795000Medicaid
MD419795000Medicaid