Healthcare Provider Details

I. General information

NPI: 1427019041
Provider Name (Legal Business Name): MARY E CODY M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 03/31/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9100 FRANKLIN SQUARE DR SUITE 200
BALTIMORE MD
21237-3903
US

IV. Provider business mailing address

9100 FRANKLIN SQUARE DR SUITE 200
BALTIMORE MD
21237-3903
US

V. Phone/Fax

Practice location:
  • Phone: 443-777-7878
  • Fax:
Mailing address:
  • Phone: 443-777-7878
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberD0035904
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code2084P0805X
TaxonomyGeriatric Psychiatry Physician
License NumberD0035904
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: