Active NPI
Chad Jason Lennon, M.D.
- Psychiatry Physician
- Laurel, MD
National Provider Identifier
1427373687
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- D74512
- Practice address
- 9771 Tiger Lily Path
Apt. 3B
Laurel, MD 20723 - Phone
- (917) 669-6237
- NPI assigned
- Mar 31, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | D74512 | MD | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
9771 Tiger Lily Path
Apt. 3B
Laurel, MD 20723
Mailing address
9771 Tiger Lily Path
Apt. 3B
Laurel, MD 20723
Phone (917) 669-6237
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sheppard Pratt Physicians, P.a. | Psychiatry | Current | Accepting new patients |
| Adventist Physician Services, Inc. | Psychiatry | Current | Accepting new patients |
| Sheppard Pratt Health System, Inc | Past | Accepting new patients |
Locations
820 W Diamond Ave
Ste 500
Gaithersburg, MD 20878
9901 Medical Center Dr
Rockville, MD 20850
Phone (301) 279-6000
6501 N Charles St
Towson, MD 21204
Phone (410) 938-3000
Organizations & group practices 3
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.
-
dba Adventist Medical Group
- Physical Medicine & Rehabilitation Physician
- Gaithersburg, MD
- NPI 1376623207
DC, Psychiatry
-
- Psychiatry Physician
- Baltimore, MD
- NPI 1518990712
-
- Psychiatric Hospital
- Elkridge, MD
- NPI 1932269495
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462752000000",
"number": "1427373687",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9771 TIGER LILY PATH",
"address_2": "APT. 3B",
"city": "LAUREL",
"state": "MD",
"postal_code": "20723",
"telephone_number": "917-669-6237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9771 TIGER LILY PATH",
"address_2": "APT. 3B",
"city": "LAUREL",
"state": "MD",
"postal_code": "20723",
"telephone_number": "917-669-6237"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LENNON",
"first_name": "CHAD",
"middle_name": "JASON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-03-31",
"last_updated": "2016-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MD",
"license": "D74512",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Laurel, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.