DR. DAVID JOHN MIRANDA PHD
NPI 1255044483
Psychologist - Clinical in Baltimore, MD

Active since January 03, 2023Opted out of Medicare · through Jul 1, 2027
202 HOMEWOOD TER, BALTIMORE, MD 21218(410) 255-1680 Get Directions Write a Review

NPPES record last updated: January 3, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. David John Miranda Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DAVID JOHN MIRANDA PHD (NPI 1255044483) is an individual clinical provider in Baltimore, Maryland, licensed in Maryland (02969) and active in the NPI registry since January 2023. He has opted out of Medicare through July 1, 2027.

NPPES Registry Identity

NPI1255044483
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. DAVID JOHN MIRANDACredential: PHD
Location Address202 HOMEWOOD TERBaltimore, MD 21218-2804
Mailing Address202 Homewood TerBaltimore, MD 21218-2804 · (410) 255-1680
Sole ProprietorYes
Enumeration DateJanuary 3, 2023
NPPES CertifiedJanuary 3, 2023
NPI 1255044483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in MD · 02969
Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

202 HOMEWOOD TER, Baltimore, MD 21218

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. David John Miranda Phd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2023 through July 1, 2027.

Opt-Out Effective DateJuly 1, 2023
Opt-Out In Effect ThroughJuly 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Miranda's NPI number?

The NPI number for David Miranda is 1255044483. It was assigned to this individual provider in the NPPES registry on January 3, 2023.

Where is David Miranda located?

David Miranda practices at 202 Homewood Ter, Baltimore, MD 21218. The listed phone number is (410) 255-1680.

What is David Miranda's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is David Miranda enrolled in Medicare?

No. David Miranda has opted out of Medicare through July 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for David Miranda was last updated on January 3, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.