Individual provider Active NPI

Juhi Fatima Nayeem, MD

  • Psychiatry Physician
  • Laurel, MD
National Provider Identifier
1689767568
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
D0028979 Issued in MD
Practice address
8367 Cherry LN
Laurel, MD 20707-4831
Phone
(301) 498-4882
Fax
(301) 498-5097
NPI assigned
Oct 2, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X D0028979 MD Primary

Addresses

Primary practice location

8367 Cherry LN
Laurel, MD 20707-4831

Mailing address

8367 Cherry LN
Laurel, MD 20707-4831
Phone (301) 828-2655

Other identifiers 1

IdentifierTypeStateIssuer
268101300MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20241001000290 DC Practitioner - Psychiatry 7214039734 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0028979MDMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Optimum Health Systems, Inc. CurrentSince Apr 22, 2015 Accepting new patients
All Time Psychiatry LLC Psychiatry CurrentSince Aug 27, 2024 Accepting new patients
Hebron House, Inc. CurrentSince Aug 28, 2021 Accepting new patients
Dr Juhi F Nayeem MD Psychiatry CurrentSince Jul 21, 2024 Accepting new patients
Washington Assessment & Therapy Services Past Accepting new patients
Omni House Inc Past Accepting new patients
Tateioms, LLC Past Accepting new patients
Affiliated Sante Group Past Accepting new patients
Tateioms, LLC Past Accepting new patients

Locations

2300 Garrison Blvd
Ste 104
Baltimore, MD 21216
Phone (410) 233-6200

2300 Garrison Blvd
Ste 101
Baltimore, MD 21216
Phone (410) 233-1990

1401 Mercantile Ln
Ste 200H
Upper Marlboro, MD 20774
Phone (301) 957-5451

Organizations & group practices 9

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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1689767568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8367 CHERRY LN",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207074831",
            "telephone_number": "301-828-2655",
            "fax_number": "301-281-4002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8367 CHERRY LN",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207074831",
            "telephone_number": "301-498-4882",
            "fax_number": "301-498-5097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAYEEM",
        "first_name": "JUHI",
        "middle_name": "FATIMA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D0028979",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "268101300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

Verify at the official NPI Registry.