Active NPI
Lynn Herkowitz Deutsch, D.O.
- Geriatric Psychiatry Physician
- Rockville, MD
National Provider Identifier
1447365804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Psychiatry Physician
- License
- H38740
- Practice address
- 6205 Executive Blvd
Rockville, MD 20852-3906 - Phone
- (301) 770-4761
- Fax
- (301) 770-4762
- NPI assigned
- Aug 19, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Psychiatry Physician | 2084P0805X | H38740 | MD | Primary |
Addresses
Primary practice location
6205 Executive Blvd
Rockville, MD 20852-3906
Mailing address
719 Kersey Rd
Silver Spring, MD 20902-3055
Phone (240) 353-5555
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 361521900 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040827000339 | DC | Practitioner - Psychiatry | 7719952399 | Practice locations: Rockville, MD |
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- New York College of Osteo Medicine of New York Institute of Technology, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
6205 Executive Blvd
Rockville, MD 20852-3906
Phone (301) 770-4761
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H38740 | MD | MD | Geriatric Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1447365804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "719 KERSEY RD",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209023055",
"telephone_number": "240-353-5555",
"fax_number": "301-770-4762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6205 EXECUTIVE BLVD",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208523906",
"telephone_number": "301-770-4761",
"fax_number": "301-770-4762"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEUTSCH",
"first_name": "LYNN",
"middle_name": "HERKOWITZ",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0805X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Geriatric Psychiatry",
"state": "MD",
"license": "H38740",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "361521900",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.