Individual provider Active NPI

Laurence Joseph Greenwood, M.D.

  • Psychiatry Physician
  • Lanham, MD
National Provider Identifier
1386675601
Registry record updated Jul 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
D0030248 Issued in MD
Practice address
4200 Forbes Blvd Ste 104
Lanham, MD 20706-4872
Phone
(301) 335-3854
Fax
(301) 990-1900
NPI assigned
Jul 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X D0030248 MD
Counseling Psychologist 103TC1900X D0030248 MD
Clinical Child & Adolescent Psychologist 103TC2200X D0030248 MD
Family Psychologist 103TF0000X D0030248 MD
Psychiatry Physician 2084P0800X D0030248 MD Primary

Addresses

Primary practice location

4200 Forbes Blvd Ste 104
Lanham, MD 20706-4872

Mailing address

424 Midsummer Dr
Gaithersburg, MD 20878-5221
Phone (301) 335-3854

Other identifiers 1

IdentifierTypeStateIssuer
403234900MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040726000425 DC Practitioner - Psychiatry 6901886217
I20210804003843 MD Practitioner - Psychiatry 6901886217 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1965
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Maryland Wellness LLCGroup PAC ID 6406278803, 22 clinicians

Practice addresses (Care Compare)

4128 Hayward Ave
Suite W
Baltimore, MD 21215-4340
Phone (410) 314-1030

Merit-based Incentive Payment System (MIPS)

Final score
18.74 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
62.46

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0030248MDMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Maryland Wellness LLC CurrentSince Mar 26, 2021 Accepting new patients
Tateioms, LLC PastSince Dec 28, 2022 Accepting new patients

Locations

4128 Hayward Ave
Baltimore, MD 21215
Phone (410) 241-6317

4128 Hayward Ave
Ste G
Baltimore, MD 21215
Phone (410) 241-6317

4128 Hayward Ave
Ste W
Baltimore, MD 21215
Phone (410) 241-6317

519 N Mechanic St
Cumberland, MD 21502
Phone (240) 362-7439

4200 Forbes Blvd
Ste 104
Lanham, MD 20706
Phone (301) 429-6100

2255 Crain Hwy
Ste 106
Waldorf, MD 20601
Phone (410) 241-6317

Interoperability endpoints

  • Direct secure messaging: laurence.greenwood.p1@direct.mdwellness.nextgenshare.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689379200000",
    "number": "1386675601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 MIDSUMMER DR",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208785221",
            "telephone_number": "301-335-3854",
            "fax_number": "301-990-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 FORBES BLVD STE 104",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207064872",
            "telephone_number": "301-335-3854",
            "fax_number": "301-990-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENWOOD",
        "first_name": "LAURENCE",
        "middle_name": "JOSEPH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2023-07-15",
        "certification_date": "2023-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "D0030248",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MD",
            "license": "D0030248",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "MD",
            "license": "D0030248",
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "MD",
            "license": "D0030248",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D0030248",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "403234900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lanham, MD

Sources for this page

Verify at the official NPI Registry.