Provider Demographics
NPI:1568402436
Name:BALDI, RICHARD PAUL (PSYD LCSW C)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:PAUL
Last Name:BALDI
Suffix:
Gender:M
Credentials:PSYD LCSW C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 SISTER PIERRE DR
Mailing Address - Street 2:SUITE 403 PROFESSIONAL CENTER
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21204-7516
Mailing Address - Country:US
Mailing Address - Phone:410-823-6408
Mailing Address - Fax:443-279-0537
Practice Address - Street 1:120 SISTER PIERRE DR
Practice Address - Street 2:SUITE 403 PROFESSIONAL CENTER
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21204-7516
Practice Address - Country:US
Practice Address - Phone:410-823-6408
Practice Address - Fax:443-279-0537
Is Sole Proprietor?:No
Enumeration Date:2006-06-07
Last Update Date:2013-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD031591041C0700X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
0001OtherBSDC
017805000OtherMAGE
2051736OtherCIGN GROUP
96663OtherMHN
PVPB2405OtherAPS
2051736OtherCIGN
790298000OtherMAGE GROUP
392068OtherMAMS
705BPSOtherBSMD GROUP
226573OtherKAIS
226573OtherKAIS GROUP
252450OtherCOMP GROUP
30212013OtherBSMD
516901100OtherMAMD GROUP
PVPB2405OtherAPS GROUP
150N134GOtherMBMD
253527OtherCOMP
516901100OtherMAMD
593795443OtherMAMS GROUP
K452OtherBSDC GROUP