Active NPI
Corvin Robinson, MD
- Psychiatry Physician
- Hagerstown, MD
National Provider Identifier
1548244841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- D0044857
- Practice address
- 13218 Brooklane Dr
Hagerstown, MD 21742-1435 - Phone
- (240) 527-2082
- Fax
- (240) 310-1927
- NPI assigned
- Dec 1, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | D0044857 | MD | Primary |
Addresses
Primary practice location
13218 Brooklane Dr
Hagerstown, MD 21742-1435
Mailing address
13218 Brooklane Dr
Hagerstown, MD 21742-1435
Phone (240) 527-2082
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00823 | Other | MD | VALUE OPTIONS |
| D0044857 | Other | MD | MEDICAL LICENSE |
| MDMCD | Medicaid | MD | |
| SKMDO | Medicaid | MD | |
| SX173 | Other | MD | BEACON HEALTH |
| 60054 | Other | MD | AETNA |
| SB580 | Other | MD | BLUE CROSS/BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0044857 | MD | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Psychiatric Medicine | Psychiatry | Current | Accepting new patients |
| Brook Lane Behavioral Services, Inc. | Current | Accepting new patients | |
| Brook Lane Behavioral Services, Inc. | Current | Accepting new patients | |
| Brook Lane Health Services, Inc. | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
4540 Mack Ave
Ste B
Frederick, MD 21703
Phone (301) 698-5665
13218 Brooklane Dr
Hagerstown, MD 21742
Phone 3017330330184
Organizations & group practices 5
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Hagerstown, MD
- NPI 1417928151
-
- Psychiatry Physician
- Ijamsville, MD
- NPI 1619411121
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Frederick, MD
- NPI 1063721512
-
- Psychiatric Hospital
- Hagerstown, MD
- NPI 1316918048
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1548244841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13218 BROOKLANE DR",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "217421435",
"telephone_number": "240-527-2082",
"fax_number": "240-310-1927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13218 BROOKLANE DR",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "217421435",
"telephone_number": "240-527-2082",
"fax_number": "240-310-1927"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINSON",
"first_name": "CORVIN",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-01",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MD",
"license": "D0044857",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "00823",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "D0044857",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "MDMCD",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SKMDO",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEACON HEALTH",
"identifier": "SX173",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "60054",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "SB580",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hagerstown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.