DBT Maryland LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

DBT MARYLAND LLC

Practice address

4915 Saint Elmo Ave Ste 504
Bethesda, MD 20814-6019

Phone

(301) 229-0063

NPI assigned

Jan 2, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Amanda Pezzanite, LCSW-CNPI 1760026413

Title

Clinical Director

Phone

(301) 229-0063

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amanda Joyce Jacob Pezzanite, LCSW-C

  • Clinical Social Worker
  • Bethesda, MD
  • NPI 1760026413
  NPD Authorized official

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

{
    "created_epoch": "1641081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641081600000",
    "number": "1407517519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12154 DARNESTOWN ROAD",
            "address_2": "PO BOX 635",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "20878",
            "telephone_number": "301-569-1450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4915 SAINT ELMO AVE STE 504",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208146019",
            "telephone_number": "301-229-0063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DBT MARYLAND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-02",
        "last_updated": "2022-01-02",
        "certification_date": "2022-01-02",
        "status": "A",
        "authorized_official_last_name": "PEZZANITE",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "301-229-0063",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Arthur Davis, MD
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• D'Anna Dawson
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• Enrique Daza Racines, M.D.
• DC Pediatric Smiles LLC
• DCPT PLLC
• Joseph Hart De Jonge
• Sabine Constanze De la Croix-Vaubois, MD
• David Peter De la Cruz, LMT, RMT

• Mental Health Clinic/Center (Including Community Mental Health Center) in Bethesda, MD
• Providers in Bethesda, MD by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2022; 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.