Harvey Fernbach, M.D.
Individual provider Active NPI Psychiatry Physician · Berwyn Heights, MD
NPI 1144245481 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1144245481
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- D019061 (MD)
- 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
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- 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 |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | D019061 | MD | Yes |
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
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- William Foncham III
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All providers in Berwyn Heights, MD · Psychiatry Physician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.