Frederick Psychiatric Medicine

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

DOO44857 Issued in MD

Legal business name

FREDERICK PSYCHIATRIC MEDICINE

Practice address

10001 Pebble Beach Ter
Ijamsville, MD 21754-9147

Phone

(301) 606-7785

Fax

(240) 310-1927

NPI assigned

Dec 19, 2016

Last updated

Dec 19, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Corvin Robinson, M.D.NPI 1548244841

Title

Owner

Phone

(301) 606-7785

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Corvin Robinson, MD

  • Psychiatry Physician
  • Hagerstown, MD
  • NPI 1548244841
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1482105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482105600000",
    "number": "1619411121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10001 PEBBLE BEACH TER",
            "city": "IJAMSVILLE",
            "state": "MD",
            "postal_code": "217549147",
            "telephone_number": "301-606-7785",
            "fax_number": "240-310-1927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10001 PEBBLE BEACH TER",
            "city": "IJAMSVILLE",
            "state": "MD",
            "postal_code": "217549147",
            "telephone_number": "301-606-7785",
            "fax_number": "240-310-1927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDERICK PSYCHIATRIC MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-19",
        "last_updated": "2016-12-19",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "CORVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-606-7785",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "DOO44857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Feierstein, DPT
• Kimberly Benson Fortney, A.T.,C.
• Frederick Health Hospital Inc (Frederick Health Hospital Laboratory)
• Frederick Health Medical Group LLC (Frederick Health Medical Group)
• Frederick Primary Care Associates, P.a.
• FS Occupational Therapy Solutions
• Rachel Li Gibson
• Pamela D Glatfelter, M.S. CCC-SLP
• Gomez Alie DDS (Urbana Family Dental Care)
• Rebecca Grossman

• Psychiatry Physician in Ijamsville, MD
• Providers in Ijamsville, MD by specialty
• Psychiatry Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.