Individual provider Active NPI

Jason Anthes

  • Child & Adolescent Psychiatry Physician
  • Bethesda, MD
National Provider Identifier
1609300128
Registry record updated Apr 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
1890 Issued in NE
Practice address
NCC Psychiatry Walter Reed
8901 Wisconsin Avenue
Bethesda, MD 20889-0001
Phone
(301) 295-4503
NPI assigned
Apr 12, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 1890 NE Primary

Addresses

Primary practice location

NCC Psychiatry Walter Reed
8901 Wisconsin Avenue
Bethesda, MD 20889-0001

Mailing address

Blanchfield Army Community Hospital (Bach)
650 Joel Dr, Fort Campbell, TN 42223
Fort Campbell, TN 42223

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, KY2 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
I20260402001855 NY Practitioner - Psychiatry 2567860125 Reassigns benefits to 2 organizations
I20260409003549 KY Practitioner - Psychiatry 2567860125 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
William Carey University College of Osteopathic Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohio County Hospital CorporationGroup PAC ID 3577477264, 84 clinicians
University of RochesterGroup PAC ID 5799699088, 960 clinicians

Practice addresses (Care Compare)

1211 Main St
Hartford, KY 42347-1619
Phone (270) 298-7411

1211 Old Main St
Hartford, KY 42347-1619
Phone (270) 298-3806

1215 Old Main St
Hartford, KY 42347-1619
Phone (270) 730-5344

1621 N Main St
Beaver Dam, KY 42320-8963
Phone (270) 274-9222

20 E McMurtry Ave
Hartford, KY 42347-1647
Phone (270) 504-1300

601 Elmwood Ave
Rochester, NY 14642-0002
Phone (585) 275-2100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1890NEMDChiropractor

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": "1491955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1609300128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BLANCHFIELD ARMY COMMUNITY HOSPITAL (BACH)",
            "address_2": "650 JOEL DR, FORT CAMPBELL, TN 42223",
            "city": "FORT CAMPBELL",
            "state": "TN",
            "postal_code": "42223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NCC PSYCHIATRY WALTER REED",
            "address_2": "8901 WISCONSIN AVENUE",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208890001",
            "telephone_number": "301-295-4503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTHES",
        "first_name": "JASON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-12",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NE",
            "license": "1890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

Verify at the official NPI Registry.