Organization Active NPI

Interstate Psychaitric Care

  • Psychiatry Physician
  • Hagerstown, MD
National Provider Identifier
1326304288
Registry record updated Jun 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
M71995 Issued in MD
Legal business name
INTERSTATE PSYCHAITRIC CARE
Practice address
324 E Antietam St
Suite 307-a
Hagerstown, MD 21740-5754
Phone
(609) 575-0083
Fax
(301) 790-0936
NPI assigned
Apr 4, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2018

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

Authorized official

Name
Mr. Majid Syed, PH.D
Title
Principal/Founder
Phone
(609) 575-0083

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X M71995 MD Primary

Addresses

Primary practice location

324 E Antietam St
Suite 307-a
Hagerstown, MD 21740-5754

Mailing address

20526 Wilderness Run Rd
Boonsboro, MD 21713-1865
Phone (609) 575-0083

National Provider Directory

National Provider Directory

Locations

324 E Antietam St
Ste 307A
Hagerstown, MD 21740
Phone (301) 733-5858

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1333497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529452800000",
    "number": "1326304288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20526 WILDERNESS RUN RD",
            "city": "BOONSBORO",
            "state": "MD",
            "postal_code": "217131865",
            "telephone_number": "609-575-0083",
            "fax_number": "301-790-0936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 E ANTIETAM ST",
            "address_2": "SUITE 307-A",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217405754",
            "telephone_number": "609-575-0083",
            "fax_number": "301-790-0936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERSTATE PSYCHAITRIC CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-04",
        "last_updated": "2018-06-20",
        "status": "A",
        "authorized_official_last_name": "SYED",
        "authorized_official_first_name": "MAJID",
        "authorized_official_title_or_position": "PRINCIPAL/FOUNDER",
        "authorized_official_telephone_number": "609-575-0083",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "M71995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; 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.