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DR. SUSAN GAYLE LARSON M.D.
NPI 1386735256
Psychiatry & Neurology - Child & Adolescent Psychiatry in Baltimore, MD

Active since September 27, 2006PECOS Enrolled
3300 GAITHER RD, BALTIMORE, MD 21244(410) 922-2100(410) 496-5620 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Susan Gayle Larson M.d. NPPES

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

DR. SUSAN GAYLE LARSON M.D. (NPI 1386735256) is an individual child & adolescent psychiatry provider in Baltimore, Maryland, licensed in Maryland (D0050306) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386735256
Entity TypeIndividualFemale
Primary Taxonomy2084P0804X
Provider Legal NameDR. SUSAN GAYLE LARSONCredential: M.D.
Location Address3300 GAITHER RDBaltimore, MD 21244-2916
Mailing Address1120 August DrAnnapolis, MD 21403-4613 · (410) 268-0036
Phone(410) 922-2100
Fax(410) 496-5620
Sole ProprietorNo
Enumeration DateSeptember 27, 2006
Last NPPES UpdateJuly 9, 2007
✔ NPI 1386735256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in MD · D0050306
Definition
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.
3300 GAITHER RD, Baltimore, MD 21244
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Other Identifiers 1

Medicare UPING56857MD

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Susan Gayle Larson M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BOARD OF CHILD CARE OF THE UNITED METHODIST CHURH, INC.
Public Health or Welfare
3300 GAITHER RD
WINDSOR MILL, MD 21244
Baltimore County (410) 922-2100
BOARD OF CHILD CARE
Counselor (Mental Health)
3300 GAITHER RD
BALTIMORE, MD 21244
Baltimore County (410) 922-2100
BOARD OF CHILDCARE OF THE UNITED METHODIST CHURCH INC
Community/Behavioral Health
3300 GAITHER RD
BALTIMORE, MD 21244
Baltimore County (410) 922-2100
BOARD OF CHILD CARE OF THE UNITED METHODIST CHURCH, INC
Nurse Practitioner (Primary Care)
3300 GAITHER RD
BALTIMORE, MD 21244
Baltimore County (410) 922-2100
ALEXANDRA GILBERT LCSW-C
Counselor (Mental Health)
3300 GAITHER RD
BALTIMORE, MD 21244
Baltimore County (410) 922-2100
BOARD OF CHILD CARE OF THE UNITED METHODIST CHURCH, INC
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
3300 GAITHER RD
BALTIMORE, MD 21244
Baltimore County (410) 922-2100
SHAYNTELLE KIYOKO MOORE CRNP-PC
Nurse Practitioner (Pediatrics)
3300 GAITHER RD
BALTIMORE, MD 21244
Baltimore County (410) 922-2100
MARISSA STACY LCPAT, ATR-BC, CTP
Art Therapist
3300 GAITHER RD
BALTIMORE, MD 21244
Baltimore County (410) 922-2100

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 Susan Larson's NPI number?

The NPI number for Susan Larson is 1386735256. It was assigned to this individual provider in the NPPES registry on September 27, 2006.

Where is Susan Larson located?

Susan Larson practices at 3300 Gaither Rd, Baltimore, MD 21244. The listed phone number is (410) 922-2100.

What is Susan Larson's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Susan Larson enrolled in Medicare?

Yes. Susan Larson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Susan Larson was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.