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MARK W CRANDALL MDPA
NPI 1568618072
Clinic/Center - Mental Health (Including Community Mental Health Center) in Owings Mills, MD

Active since August 15, 2008
11421 REISTERSTOWN RD, OWINGS MILLS, MD 21117(410) 356-2884(410) 833-8174 Get Directions Write a Review

NPPES record last updated: August 15, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mark W Crandall Mdpa NPPES

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

MARK W CRANDALL MDPA (NPI 1568618072) is a healthcare organization registered as a mental health (including community mental health center) in Owings Mills, Maryland and active in the NPI registry since August 2008. The organization lists Mark W Crandall, President, as its authorized official.

NPPES Registry Identity

NPI1568618072
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameMARK W CRANDALL MDPA
Location Address11421 REISTERSTOWN RDOwings Mills, MD 21117-1834
Mailing Address11421 Reisterstown RdOwings Mills, MD 21117-1834 · (410) 356-2884 · Fax (410) 833-8174
Phone(410) 356-2884
Fax(410) 833-8174
Organization SubpartNo
Authorized OfficialMark W CrandallPresident · (410) 356-2884
Enumeration DateAugust 15, 2008
✔ NPI 1568618072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
11421 REISTERSTOWN RD, Owings Mills, MD 21117
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Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mark W Crandall Mdpa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Mark W Crandall Mdpa, which bills Medicare for the services this clinician delivers.

Clinician (1)

Mark Crandall, MD
Psychiatry
NPI 1841333531
11421 REISTERSTOWN RD
Owings Mills, MD 21117
(410) 356-2884
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Mark W Crandall Mdpa's NPI number?

The NPI number for Mark W Crandall Mdpa is 1568618072. It was assigned to this organization in the NPPES registry on August 15, 2008.

Where is Mark W Crandall Mdpa located?

Mark W Crandall Mdpa is located at 11421 Reisterstown Rd, Owings Mills, MD 21117. The listed phone number is (410) 356-2884.

What is Mark W Crandall Mdpa's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Is Mark W Crandall Mdpa enrolled in Medicare?

Yes. Mark W Crandall Mdpa is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mark W Crandall Mdpa?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Psychiatry) reassigns their Medicare billing to Mark W Crandall Mdpa. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Mark W Crandall Mdpa was last updated on August 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.