Individual provider Active NPI

Chad Jason Lennon, M.D.

  • Psychiatry Physician
  • Laurel, MD
National Provider Identifier
1427373687
Registry record updated May 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
D74512 Issued in MD
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

Updated by the provider on May 9, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, 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
I20160628000267 DC Practitioner - Psychiatry 1355632001 Reassigns benefits to 1 organization
I20230511000949 MD Practitioner - Psychiatry 1355632001 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sheppard Pratt Physicians, P.a. Psychiatry CurrentSince May 1, 2023 Accepting new patients
Adventist Physician Services, Inc. Psychiatry CurrentSince Jul 5, 2016 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.

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

Verify at the official NPI Registry.