Active NPI
Harvey Fernbach, M.D.
- Psychiatry Physician
- Berwyn Heights, MD
National Provider Identifier
1144245481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- D019061
- Practice address
- 6201 Greenbelt Rd
Suite U-18
Berwyn Heights, MD 20740-2354 - Phone
- (301) 345-1919
- Fax
- (301) 345-5779
- NPI assigned
- Jul 13, 2006
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | D019061 | MD | Primary |
Addresses
Primary practice location
6201 Greenbelt Rd
Suite U-18
Berwyn Heights, MD 20740-2354
Mailing address
3205 Beech St NW
Washington, DC 20015-2207
Phone (202) 244-8072
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D019061 | MD | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Threshold Services, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Silver Spring, MD
- NPI 1255379947
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1144245481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3205 BEECH ST NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200152207",
"telephone_number": "202-244-8072",
"fax_number": "301-345-5779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6201 GREENBELT RD",
"address_2": "SUITE U-18",
"city": "BERWYN HEIGHTS",
"state": "MD",
"postal_code": "207402354",
"telephone_number": "301-345-1919",
"fax_number": "301-345-5779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERNBACH",
"first_name": "HARVEY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MD",
"license": "D019061",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Berwyn Heights, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.