Individual provider Active NPI

Deepan Chatterjee, PHD

  • Psychologist
  • Silver Spring, MD
National Provider Identifier
1114166170
Registry record updated Mar 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
04650 Issued in MD
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

Updated by the provider on Mar 10, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090501000299 MD Practitioner - Clinical Psychologist 1456409499 Reassigns benefits to 2 organizations
I20110531000129 DC Practitioner - Clinical Psychologist 1456409499 Reassigns benefits to 1 organization

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
Center for Behavioral Health and Wellness LLCGroup PAC ID 0345647806, 3 clinicians

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

OrganizationSpecialtyStatusNew patients
Center for Behavioral Health and Wellness, LLC Psychologist CurrentSince Sep 1, 2021 Accepting new patients
Psychogeriatric Services LLC Psychologist CurrentSince Mar 15, 2011 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.

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

Verify at the official NPI Registry.