Timothy Jerome Lacy, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

D0047144 Issued in MD

Practice address

10630 Little Patuxent Pkwy Ste 209
Columbia, MD 21044

Phone

(410) 740-8067

NPI assigned

Aug 25, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, MD, VA3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 3

Specialty

Psychiatry

Education

Texas a & M University System, HSC, College of Medicine, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Arman C. Moshyedi, MD, LLCGroup PAC ID 2062742794, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 26)

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.

• Arman C. Moshyedi, MD, LLC

  • Psychiatry Physician
  • Kensington, MD
  • NPI 1578126306

  DC

  Medicare reassignment Care Compare group NPD
• Arman C. Moshyedi, MD, PLLC

  • Psychiatry Physician
  • MC Lean, VA
  • NPI 1366005183

  DC

  Medicare reassignment NPD
• Arman C. Moshyedi, MD, LLC

  • Psychiatry Physician
  • Cabin John, MD
  • NPI 1245091479
  NPD (past)
• Arman C. Moshyedi, MD, LLC

  • Psychiatry Physician
  • Pikesville, MD
  • NPI 1275983330
  NPD (past)
• Greenbrook TMS Midlothian LLC

  • Psychiatry Physician
  • Midlothian, VA
  • NPI 1932659976
  NPD (past)
• Greenbrook TMS Roanoke

  • Psychiatry Physician
  • Roanoke, VA
  • NPI 1427561059
  NPD (past)

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

{
    "created_epoch": "1219622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527033600000",
    "number": "1275780934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2916 PARKER AVE",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209022660",
            "telephone_number": "301-512-9726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10630 LITTLE PATUXENT PKWY STE 209",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "21044",
            "telephone_number": "410-740-8067"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2916 Parker Ave",
            "address_purpose": "LOCATION",
            "city": "Silver Spring",
            "state": "MD",
            "postal_code": "209022660",
            "country_code": "US",
            "telephone_number": "301-512-9726",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LACY",
        "first_name": "TIMOTHY",
        "middle_name": "JEROME",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-25",
        "last_updated": "2018-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D0047144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Kwong
• Benjamin Daniel L'Ecuyer, PT, DPT
• Lisa Steinberg Laborwit, M.D.
• Lisa Lacivita, CRNA
• Monica Shanaee Lacks
• Everette Darr Lafon Jr., M.D.
• Tara Lafrance
• Michael Lagonera, PTA
• Kathryn Stanko Lagow, LCPC
• Laudelina Lahom, M.D.

• Psychiatry Physician in Columbia, MD
• Providers in Columbia, MD by specialty
• Psychiatry Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2018; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.