Active NPI
Ethan Hochheiser
- Child & Adolescent Psychiatry Physician
- Bethesda, MD
National Provider Identifier
1730744905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- D0100702
- Practice address
- 4701 Sangamore Rd # 210N
Bethesda, MD 20816-2508 - Phone
- (301) 569-2202
- Fax
- (352) 837-5368
- NPI assigned
- May 3, 2019
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 310954 | NY | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Child & Adolescent Psychiatry Physician | 2084P0804X | D0100702 | MD | Primary |
Addresses
Primary practice location
4701 Sangamore Rd # 210N
Bethesda, MD 20816-2508
Mailing address
727 W 40TH St Apt 547
Baltimore, MD 21211-2354
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
- Opted out of Medicare
- Yes, effective Apr 23, 2026 through Apr 23, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 310954 | NY | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kennedy Krieger Associates | Current | Accepting new patients | |
| Kennedy Krieger Associates | Current | Accepting new patients |
Locations
707 N Broadway
Baltimore, MD 21205
Phone (443) 923-1870
1741 Ashland Ave
Ste 642
Baltimore, MD 21205
Interoperability endpoints
- ehochheiser42929@direct.kennedykrieger.org
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 and National Provider Directory roles.
-
- Pediatrics Physician
- Middle River, MD
- NPI 1841009842
-
- Pediatrics Physician
- Baltimore, MD
- NPI 1871515783
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753401600000",
"number": "1730744905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "727 W 40TH ST APT 547",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212112354",
"fax_number": "352-837-5368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4701 SANGAMORE RD # 210N",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208162508",
"telephone_number": "301-569-2202",
"fax_number": "352-837-5368"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOCHHEISER",
"first_name": "ETHAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-05-03",
"last_updated": "2025-07-25",
"certification_date": "2025-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "310954",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "MD",
"license": "D0100702",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2025; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.