Organization Active NPI

Anne C. Mazonson, MD,LLC

  • Psychiatry Physician
  • Bethesda, MD
National Provider Identifier
1427229434
Registry record updated Mar 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
D41821 Issued in MD
Legal business name
ANNE C. MAZONSON, MD,LLC
Practice address
4807 Saint Elmo Ave
Suite 200
Bethesda, MD 20814-7044
Phone
(301) 657-5655
Fax
(301) 657-2814
NPI assigned
Mar 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2008

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

Authorized official

Name
Dr. Anne Mazonson
Title
Owner
Phone
(301) 657-5655

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X D41821 MD Primary

Addresses

Primary practice location

4807 Saint Elmo Ave
Suite 200
Bethesda, MD 20814-7044

Mailing address

4807 Saint Elmo Ave
Suite 200
Bethesda, MD 20814-7044
Phone (301) 657-5655

Other identifiers 1

IdentifierTypeStateIssuer
G01869OtherMDGROUP NUMBER

National Provider Directory

National Provider Directory

Locations

4807 Saint Elmo Ave
Bethesda, MD 20814
Phone (301) 654-4997

4807 Saint Elmo Ave
Ste 200
Bethesda, MD 20814
Phone (301) 657-5655

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205798400000",
    "number": "1427229434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4807 SAINT ELMO AVE",
            "address_2": "SUITE 200",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208147044",
            "telephone_number": "301-657-5655",
            "fax_number": "301-657-2814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4807 SAINT ELMO AVE",
            "address_2": "SUITE 200",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208147044",
            "telephone_number": "301-657-5655",
            "fax_number": "301-657-2814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNE C. MAZONSON, MD,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-18",
        "last_updated": "2008-03-18",
        "status": "A",
        "authorized_official_last_name": "MAZONSON",
        "authorized_official_first_name": "ANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-657-5655",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D41821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NUMBER",
            "identifier": "G01869",
            "state": "MD"
        }
    ],
    "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 Mar 18, 2008; 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.