DR. JONATHAN GORMAN PSY.D.
NPI 1891118394
Psychologist - Clinical in Towson, MD

Q: What is Jonathan Gorman's NPI number?

The NPI number for Jonathan Gorman is 1891118394. It was assigned to this individual provider in the NPPES registry on February 4, 2014.

Q: What is Jonathan Gorman's specialty?

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

Q: Is Jonathan Gorman enrolled in Medicare?

No. Jonathan Gorman has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Jonathan Gorman was last updated on July 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since February 04, 2014Opted out of Medicare · through Apr 1, 2028

405 ALLEGHENY AVE, TOWSON, MD 21204(410) 807-5312 Get Directions Write a Review

NPPES record last updated: July 6, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 6, 2021, Jul 23, 2018 (2 updates tracked since 2018).

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About Dr. Jonathan Gorman Psy.d. NPPES

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

DR. JONATHAN GORMAN PSY.D. (NPI 1891118394) is an individual clinical provider in Towson, Maryland, licensed in Maryland (05332) and active in the NPI registry since February 2014. He has opted out of Medicare through April 1, 2028.

NPPES Registry Identity

NPI1891118394

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. JONATHAN GORMANCredential: PSY.D.

Location Address405 ALLEGHENY AVETowson, MD 21204

Mailing Address405 Allegheny AveTowson, MD 21204-4256 · (410) 807-5312

Phone(410) 807-5312

Sole ProprietorNo

Enumeration DateFebruary 4, 2014

Last NPPES UpdateJuly 6, 20212 updates tracked since enumeration

NPPES CertifiedJuly 6, 2021

✔ NPI 1891118394 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 · 05332

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.

405 ALLEGHENY AVE, Towson, MD 21204

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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. Jonathan Gorman Psy.d. 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 April 1, 2020 through April 1, 2028.

Opt-Out Effective DateApril 1, 2020

Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

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Other Providers at the Same Location NPPES 19

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