Active NPI
Emmanuel George Cassimatis, M.D.
- Psychiatry Physician
- Bethesda, MD
National Provider Identifier
1568482172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- D0022038
- Practice address
- 4301 Jones Bridge Rd
RM A1008, Usuhs
Bethesda, MD 20814-4799 - Phone
- (301) 295-1917
- NPI assigned
- Jul 20, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | D0022038 | MD | Primary |
Addresses
Primary practice location
4301 Jones Bridge Rd
RM A1008, Usuhs
Bethesda, MD 20814-4799
Mailing address
9619 Kingston Rd
Kensington, MD 20895-3521
Phone (301) 949-8707
Other names 1
- Dr. Nicholas Emmanuel George Cassimatis
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0022038 | MD | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1568482172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9619 KINGSTON RD",
"city": "KENSINGTON",
"state": "MD",
"postal_code": "208953521",
"telephone_number": "301-949-8707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4301 JONES BRIDGE RD",
"address_2": "RM A1008, USUHS",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208144799",
"telephone_number": "301-295-1917"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASSIMATIS",
"first_name": "EMMANUEL",
"middle_name": "GEORGE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MD",
"license": "D0022038",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NICHOLAS EMMANUEL",
"last_name": "CASSIMATIS",
"middle_name": "GEORGE",
"prefix": "DR.",
"code": "5",
"type": "Other Name"
}
]
}
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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.