Gwendolyn White Giedd, M.D.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

D0045089 Issued in MD

Practice address

12533 Grey Fox LN
Potomac, MD 20854-1903

Phone

(301) 545-0915

Fax

(301) 545-0921

NPI assigned

Mar 14, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1236988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236988800000",
    "number": "1356582779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12533 GREY FOX LN",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208541903",
            "telephone_number": "301-545-0915",
            "fax_number": "301-545-0921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12533 GREY FOX LN",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208541903",
            "telephone_number": "301-545-0915",
            "fax_number": "301-545-0921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIEDD",
        "first_name": "GWENDOLYN",
        "middle_name": "WHITE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-14",
        "last_updated": "2009-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D0045089",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "MD",
            "license": "D0045089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Georgallas Physiotherapy, LLC
• David Theodore George, M.D.
• Gerald H. Fink, M.D., P.a.
• Ronald N Germain, M.D.
• Giant of Maryland LLC
• James Edward Gilbert, MD
• Alyson Gluecksmann
• Aliza Goldberg, PSYD
• Dana Kathrins Goldberg, M.A., CCC-SLP
• Mark Goldberger, M.D.

• Child & Adolescent Psychiatry Physician in Potomac, MD
• Providers in Potomac, MD by specialty
• Child & Adolescent Psychiatry Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2009; 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.