Active NPI
Cecil Tucker
- Psychiatry Physician
- Frederick, MD
National Provider Identifier
1619669967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- R163975
- Practice address
- 9729 Royal Crest Cir
Frederick, MD 21704-7801 - Phone
- (301) 442-7095
- NPI assigned
- May 24, 2023
- 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 | R163975 | MD | Primary |
Addresses
Primary practice location
9729 Royal Crest Cir
Frederick, MD 21704-7801
Mailing address
9729 Royal Crest Cir
Frederick, MD 21704-7801
Phone (301) 442-7095
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
939 Elkridge Landing Rd
Suite 350
Linthicum, MD 21090-2953
Phone (443) 588-8753
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Interoperability endpoints
- cecil.tucker.1@29453.direct.athenahealth.com
Organizations & group practices 1
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.
-
- Psychiatry Physician
- Linthicum, MD
- NPI 1215448998
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684886400000",
"number": "1619669967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9729 ROYAL CREST CIR",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217047801",
"telephone_number": "301-442-7095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9729 ROYAL CREST CIR",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217047801",
"telephone_number": "301-442-7095"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUCKER",
"first_name": "CECIL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-05-24",
"last_updated": "2023-05-24",
"certification_date": "2023-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MD",
"license": "R163975",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.
- 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.