Active NPI
Pearson Sunderland, M.D.
- Psychiatry Physician
- Chevy Chase, MD
National Provider Identifier
1245365717
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- D22662
- Practice address
- 4718 Cumberland Ave
Chevy Chase, MD 20815-5458 - Phone
- (301) 654-0489
- Fax
- (301) 654-1607
- NPI assigned
- Feb 23, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | D22662 | MD | Primary |
| Geriatric Psychiatry Physician | 2084P0805X | D22662 | MD |
Addresses
Primary practice location
4718 Cumberland Ave
Chevy Chase, MD 20815-5458
Mailing address
4718 Cumberland Ave
Chevy Chase, MD 20815-5458
Phone (301) 654-0489
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D22662 | MD | MD | Geriatric Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305504000000",
"number": "1245365717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4718 CUMBERLAND AVE",
"city": "CHEVY CHASE",
"state": "MD",
"postal_code": "208155458",
"telephone_number": "301-654-0489",
"fax_number": "301-654-1607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4718 CUMBERLAND AVE",
"city": "CHEVY CHASE",
"state": "MD",
"postal_code": "208155458",
"telephone_number": "301-654-0489",
"fax_number": "301-654-1607"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUNDERLAND",
"first_name": "PEARSON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-23",
"last_updated": "2011-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MD",
"license": "D22662",
"primary": true
},
{
"code": "2084P0805X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Geriatric Psychiatry",
"state": "MD",
"license": "D22662",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chevy Chase, MD
- Suburban/NRH Rehabilitation Hospital, Inc. (MedStar Health Physical Therapy at Chevy Chase North)
- Susan A Sullivan, PT
- Lindsay Michelle Suls, PSY.D.
- Marshall Summar, MD
- Cheryl Owens Sumner
- Surgical Focus LLC
- James Mark Sydnor-Greenberg, PH.D.
- Sylene of Washington, Inc.
- Synergy Medical Group LLC
- Emee Ta, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.