Active NPI
Deepan Chatterjee, PHD
- Psychologist
- Silver Spring, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 04650
- Practice address
- 11120 New Hampshire Ave
Suite # 204
Silver Spring, MD 20904-2633 - Phone
- (301) 593-1315
- Fax
- (301) 681-4699
- NPI assigned
- Feb 16, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 04650 | MD | Primary |
Addresses
Primary practice location
11120 New Hampshire Ave
Suite # 204
Silver Spring, MD 20904-2633
Mailing address
11120 New Hampshire Ave
Suite # 204
Silver Spring, MD 20904-2633
Phone (301) 593-1315
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9005 Chevrolet Dr
Suite D
Ellicott City, MD 21042-4035
Phone (202) 288-2834
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Behavioral Health and Wellness, LLC | Psychologist | Current | Accepting new patients |
| Psychogeriatric Services LLC | Psychologist | Current | Accepting new patients |
Locations
9005 Chevrolet Dr
Ste D
Ellicott City, MD 21042
Phone (202) 288-2834
4101 Old National Pike
Mount Airy, MD 21771
Phone (301) 829-0800
12073 Tech Rd
Ste B
Silver Spring, MD 20904
Phone (240) 396-5873
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 and National Provider Directory roles.
-
- Psychiatry Physician
- Ellicott City, MD
- NPI 1437822319
Psychologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299715200000",
"number": "1114166170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11120 NEW HAMPSHIRE AVE",
"address_2": "SUITE # 204",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209042633",
"telephone_number": "301-593-1315",
"fax_number": "301-681-4699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11120 NEW HAMPSHIRE AVE",
"address_2": "SUITE # 204",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209042633",
"telephone_number": "301-593-1315",
"fax_number": "301-681-4699"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHATTERJEE",
"first_name": "DEEPAN",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-02-16",
"last_updated": "2011-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MD",
"license": "04650",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.