Active NPI
Bethesda Psychological Evaluations and Treatment Limited
- Community/Behavioral Health Agency
- Bethesda, MD
National Provider Identifier
1124642228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- BETHESDA PSYCHOLOGICAL EVALUATIONS AND TREATMENT LIMITED
- Practice address
- 4300 Montgomery Ave Ste 104
Bethesda, MD 20814-4412 - Phone
- (301) 246-0436
- NPI assigned
- Jun 4, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeff Hare
- Title
- President
- Phone
- (301) 246-0436
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
4300 Montgomery Ave Ste 104
Bethesda, MD 20814-4412
Mailing address
4300 Montgomery Ave Ste 104B
Bethesda, MD 20814-4429
National Provider Directory
National Provider DirectoryLocations
4300 Montgomery Ave
Ste 104B
Bethesda, MD 20814
Phone (301) 246-0421
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychologist
- Bethesda, MD
- NPI 1396890067
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591228800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1591228800000",
"number": "1124642228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4300 MONTGOMERY AVE STE 104B",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208144429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4300 MONTGOMERY AVE STE 104",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208144412",
"telephone_number": "301-246-0436"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BETHESDA PSYCHOLOGICAL EVALUATIONS AND TREATMENT LIMITED",
"organizational_subpart": "NO",
"enumeration_date": "2020-06-04",
"last_updated": "2020-06-04",
"certification_date": "2020-06-04",
"status": "A",
"authorized_official_last_name": "HARE",
"authorized_official_first_name": "JEFF",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "301-246-0436"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.