Individual provider Active NPI

Mary James, M.D.

  • Psychiatry Physician
  • Frederick, MD
National Provider Identifier
1063415453
Registry record updated Oct 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
D40876 Issued in MD
Practice address
314 W Patrick St
Frederick, MD 21701-4889
Phone
(301) 662-6226
NPI assigned
May 31, 2005
Last updated
Oct 29, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X D40876 MD Primary

Addresses

Primary practice location

314 W Patrick St
Frederick, MD 21701-4889

Mailing address

314 W Patrick St
Frederick, MD 21701-4889
Phone (301) 471-9504

Other practice location 1

15 N Court St
Frederick, MD 21701-5413
Phone (301) 662-6226

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120112000010 MD Practitioner - Psychiatry 6901870195 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of North Carolina at Chapel Hill School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

314 W Patrick St
Frederick, MD 21701-4889
Phone (301) 471-9504

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D40876MDMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Held James LLC Psychiatry CurrentSince Dec 14, 2020 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

314 W Patrick St
Frederick, MD 21701
Phone (301) 471-9504

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603929600000",
    "number": "1063415453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 W PATRICK ST",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217014889",
            "telephone_number": "301-471-9504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 W PATRICK ST",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217014889",
            "telephone_number": "301-662-6226"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 N Court St",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217015413",
            "country_code": "US",
            "telephone_number": "301-662-6226",
            "fax_number": "301-682-6040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAMES",
        "first_name": "MARY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-31",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D40876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

Verify at the official NPI Registry.