Individual provider Active NPI

Madeline Elizabeth Amberge, MD

  • Psychiatry Physician
  • Baltimore, MD
National Provider Identifier
1679101570
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
D0100921 Issued in MD
Practice address
600 Wyndhurst Ave Ste 305C
Baltimore, MD 21210-2489
Phone
(443) 216-9996
NPI assigned
Mar 28, 2020
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X D0100921 MD Primary
Psychiatry Physician 2084P0800X 0101285754 VA
Psychiatry Physician 2084P0800X MD500003449 DC
Psychiatry Physician 2084P0800X 3126 MN

Addresses

Primary practice location

600 Wyndhurst Ave Ste 305C
Baltimore, MD 21210-2489

Mailing address

600 Wyndhurst Ave Ste 305C
Baltimore, MD 21210-2489
Phone (443) 216-9996

Other names 1

  • Madeline Elizabeth Tivon Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Previously, effective Aug 12, 2024 through Aug 12, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD500003449DCMDPsychiatry Physician
D0100921MDMDPsychiatry Physician
0101285754VAMDPsychiatry Physician
3126MNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Madeline Amberge MD LLC Psychiatry PastSince Sep 14, 2025 Accepting new patients
Medstar Georgetown Medical Center, Inc PastSince Apr 1, 2020 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1585353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1679101570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 WYNDHURST AVE STE 305C",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212102489",
            "telephone_number": "443-216-9996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 WYNDHURST AVE STE 305C",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212102489",
            "telephone_number": "443-216-9996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMBERGE",
        "first_name": "MADELINE",
        "middle_name": "ELIZABETH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-28",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D0100921",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101285754",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "DC",
            "license": "MD500003449",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MN",
            "license": "3126",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MADELINE",
            "last_name": "TIVON",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.