Individual provider Active NPI

Lisa Rosina Carchedi, MD

  • Psychiatry Physician
  • Havre de Grace, MD
National Provider Identifier
1316008659
Registry record updated Apr 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
D0080268 Issued in MD
Practice address
501 S Union Ave
Dept of Behavioral Health
Havre de Grace, MD 21078-3409
Phone
(443) 843-8050
Fax
(443) 843-6088
NPI assigned
Dec 12, 2006
Last updated
Apr 4, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X D0080268 MD Primary

Addresses

Primary practice location

501 S Union Ave
Dept of Behavioral Health
Havre de Grace, MD 21078-3409

Mailing address

501 S Union Ave
Dept of Behavioral Health
Havre de Grace, MD 21078-3409
Phone (443) 843-8050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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 1

Enrollment IDStateProvider typePAC IDDetails
I20160404000568 MD Practitioner - Psychiatry 1052476199 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
JC Edwards School of Medicine, Marshall University, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Upper Chesapeake Medical Services IncGroup PAC ID 3173556974, 18 clinicians
Harford Crisis Center IncGroup PAC ID 6002726007, 22 clinicians

Practice addresses (Care Compare)

501 S Union Ave
Havre de Grace, MD 21078-3409
Phone (443) 843-5609

802 Baltimore Pike
Suite a
Bel Air, MD 21014-4212
Phone (443) 643-3464

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0080268MDMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Upper Chesapeake Medical Services, Inc CurrentSince Mar 28, 2016 Accepting new patients
Harford Crisis Center, Inc. Psychiatry CurrentSince Mar 1, 2019 Accepting new patients
Tri-County Clinical Past Accepting new patients

Locations

500 Upper Chesapeake Dr
Bel Air, MD 21014
Phone (443) 643-1000

802 Baltimore Pike
#A
Bel Air, MD 21014
Phone (443) 643-2422

501 S Union Ave
Hvre de Grace, MD 21078
Phone (301) 939-2400

Interoperability endpoints

  • Direct secure messaging: lcarchedi651552@direct.umm.edu

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459728000000",
    "number": "1316008659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 S UNION AVE",
            "address_2": "DEPT OF BEHAVIORAL HEALTH",
            "city": "HAVRE DE GRACE",
            "state": "MD",
            "postal_code": "210783409",
            "telephone_number": "443-843-8050",
            "fax_number": "443-843-6088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S UNION AVE",
            "address_2": "DEPT OF BEHAVIORAL HEALTH",
            "city": "HAVRE DE GRACE",
            "state": "MD",
            "postal_code": "210783409",
            "telephone_number": "443-843-8050",
            "fax_number": "443-843-6088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARCHEDI",
        "first_name": "LISA",
        "middle_name": "ROSINA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2016-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D0080268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Havre de Grace, MD

Sources for this page

Verify at the official NPI Registry.