Individual provider Active NPI

Susan Felzer, PSY.D.

  • Psychiatry Physician
  • Potomac, MD
National Provider Identifier
1386798387
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
02705 Issued in MD
Practice address
10000 Falls Rd
Suite 208
Potomac, MD 20854-4103
Phone
(301) 983-5103
Fax
(301) 983-6234
NPI assigned
Jan 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 02705 MD Primary

Addresses

Primary practice location

10000 Falls Rd
Suite 208
Potomac, MD 20854-4103

Mailing address

13805 Ginkgo Ter
Rockville, MD 20850-5430
Phone (301) 309-8801

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 Jul 1, 2016 through Jul 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
02705MDMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386798387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13805 GINKGO TER",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208505430",
            "telephone_number": "301-309-8801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 FALLS RD",
            "address_2": "SUITE 208",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208544103",
            "telephone_number": "301-983-5103",
            "fax_number": "301-983-6234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELZER",
        "first_name": "SUSAN",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "02705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Potomac, MD

Sources for this page

Verify at the official NPI Registry.