Individual provider Active NPI

Brian Corrado, PSY.D.

  • Psychologist
  • Bethesda, MD
National Provider Identifier
1346361441
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
04249 Issued in MD
Practice address
7988 Old Georgetown Rd
Suite 8a
Bethesda, MD 20814-2481
Phone
(301) 718-4544
Fax
(301) 718-4545
NPI assigned
Apr 3, 2007
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 04249 MD Primary

Addresses

Primary practice location

7988 Old Georgetown Rd
Suite 8a
Bethesda, MD 20814-2481

Mailing address

7988 Old Georgetown Rd
8A
Bethesda, MD 20814-2481
Phone (301) 718-4544

Other identifiers 2

IdentifierTypeStateIssuer
012913500MedicaidMD
012913501MedicaidMD

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: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Apr 1, 2019 through Apr 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
04249MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Bethesda Group Psychological Services, LLC Past Accepting new patients

Organizations & group practices 2

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": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1346361441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7988 OLD GEORGETOWN RD",
            "address_2": "8A",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208142481",
            "telephone_number": "301-718-4544",
            "fax_number": "301-718-4545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7988 OLD GEORGETOWN RD",
            "address_2": "SUITE 8A",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208142481",
            "telephone_number": "301-718-4544",
            "fax_number": "301-718-4545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORRADO",
        "first_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-03",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MD",
            "license": "04249",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "012913500",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "012913501",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

Verify at the official NPI Registry.