Organization Active NPI

Bethesda Psychological Evaluations and Treatment Limited

  • Community/Behavioral Health Agency
  • Bethesda, MD
National Provider Identifier
1124642228
Registry record updated Jun 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
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

Updated by the provider on Jun 4, 2020

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.