Active NPI
Marc Judah Fishman, M.D.
- Psychiatry Physician
- Baltimore, MD
National Provider Identifier
1649317264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- D0038913
- Practice address
- 3800 Frederick Avenue
NA
Baltimore, MD 21229-3618 - Phone
- (410) 233-1400
- Fax
- (410) 233-5583
- NPI assigned
- Jan 31, 2007
- 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 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Psychiatry & Neurology) Physician | 2084A0401X | D0038913 | MD | |
| Addiction Medicine (Psychiatry & Neurology) Physician | 2084A0401X | MD19227 | DC | |
| Psychiatry Physician | 2084P0800X | MD19227 | DC | |
| Psychiatry Physician | 2084P0800X | D0038913 | MD | Primary |
| Addiction Psychiatry Physician | 2084P0802X | D0038913 | MD | |
| Addiction Psychiatry Physician | 2084P0802X | MD19227 | DC | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | D0038913 | MD | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | MD19227 | DC |
Addresses
Primary practice location
3800 Frederick Avenue
NA
Baltimore, MD 21229-3618
Mailing address
3800 Frederick Avenue
NA
Baltimore, MD 21229
Phone (410) 233-1400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BF2501725 XF2501725 | Other | CONTROLLED SUBSTANCE REG |
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 |
|---|---|---|---|
| MD19227 | DC | MD | Addiction Medicine (Psychiatry & Neurology) Physician |
| D0038913 | MD | MD | Addiction Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients |
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.
-
- 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": "1170201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1649317264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3800 FREDERICK AVENUE",
"address_2": "NA",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21229",
"telephone_number": "410-233-1400",
"fax_number": "410-233-5583"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3800 FREDERICK AVENUE",
"address_2": "NA",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212293618",
"telephone_number": "410-233-1400",
"fax_number": "410-233-5583"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISHMAN",
"first_name": "MARC",
"middle_name": "JUDAH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-31",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "2084A0401X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Medicine",
"state": "MD",
"license": "D0038913",
"primary": false
},
{
"code": "2084A0401X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Medicine",
"state": "DC",
"license": "MD19227",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "DC",
"license": "MD19227",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MD",
"license": "D0038913",
"primary": true
},
{
"code": "2084P0802X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Psychiatry",
"state": "MD",
"license": "D0038913",
"primary": false
},
{
"code": "2084P0802X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Psychiatry",
"state": "DC",
"license": "MD19227",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "MD",
"license": "D0038913",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "DC",
"license": "MD19227",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONTROLLED SUBSTANCE REG",
"identifier": "BF2501725 XF2501725",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.