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

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.

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

LicenseStateTypeSpecialty
D019061MDMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Threshold Services, Inc. Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

Other providers in Berwyn Heights, MD

All providers in Berwyn Heights, MD · Psychiatry Physician in Maryland

Sources for this page

Verify at the official NPI Registry.