Individual provider Active NPI

Michael Feuerstein, PHD, MPH

  • Clinical Psychologist
  • Bethesda, MD
National Provider Identifier
1356784425
Registry record updated Apr 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3190 Issued in MD
Practice address
7331 Bannockburn Ridge CT
Bethesda, MD 20817-5618
Phone
(301) 651-7246
Fax
(301) 229-4637
NPI assigned
Apr 9, 2013
Last updated
Apr 9, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 3190 MD Primary
Clinical Psychologist 103TC0700X 1807 DC

Addresses

Primary practice location

7331 Bannockburn Ridge CT
Bethesda, MD 20817-5618

Mailing address

7331 Bannockburn Ridge CT
Bethesda, MD 20817-5618
Phone (301) 651-7246

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1807DCMDClinical Psychologist
3190MDMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1365465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365465600000",
    "number": "1356784425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7331 BANNOCKBURN RIDGE CT",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208175618",
            "telephone_number": "301-651-7246",
            "fax_number": "301-229-4637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7331 BANNOCKBURN RIDGE CT",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208175618",
            "telephone_number": "301-651-7246",
            "fax_number": "301-229-4637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEUERSTEIN",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "PHD, MPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-09",
        "last_updated": "2013-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "3190",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "DC",
            "license": "1807",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2013; 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.