NPIMap

Organization Active NPI

Bright Horizons Psychiatry LLC

  • Psychiatry Physician
  • Frederick, MD
National Provider Identifier
1205754918
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
BRIGHT HORIZONS PSYCHIATRY LLC
Practice address
7360 Guilford Dr Ste 100
Frederick, MD 21704-5128
Phone
(240) 599-1001
Fax
(240) 599-1002
NPI assigned
Jul 9, 2026
Last updated
Jul 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Amir Etesam, MDNPI 1588144588
Title
Owner
Phone
(240) 599-1001

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X NU Primary

Addresses

Primary practice location

7360 Guilford Dr Ste 100
Frederick, MD 21704-5128

Mailing address

6000 Executive Blvd Ste 101
North Bethesda, MD 20852-3816
Phone (240) 599-1001

National Provider Directory

National Provider Directory
Tax ID family
Bright Horizons Psychiatry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6000 Executive Blvd
Ste 101
Rockville, MD 20852
Phone (240) 599-1001

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1783555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783555200000",
    "number": "1205754918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 EXECUTIVE BLVD STE 101",
            "city": "NORTH BETHESDA",
            "state": "MD",
            "postal_code": "208523816",
            "telephone_number": "240-599-1001",
            "fax_number": "240-599-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7360 GUILFORD DR STE 100",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217045128",
            "telephone_number": "240-599-1001",
            "fax_number": "240-599-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT HORIZONS PSYCHIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-09",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A",
        "authorized_official_last_name": "ETESAM",
        "authorized_official_first_name": "AMIR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-599-1001",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; 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.