Richard B Rothman, M.D., PH.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

0101040220 Issued in VA

Practice address

3923 Old Lee Hwy
Suite 61a
Fairfax, VA 22030-2428

Phone

(703) 359-9200

Fax

(866) 467-9404

NPI assigned

May 15, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

Practice roles

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.

• Brook Lane Health Services, Inc.

  • Psychiatric Hospital
  • Hagerstown, MD
  • NPI 1316918048
  NPD (past)
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1210809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210809600000",
    "number": "1750558045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12719 FOLLY QUARTER RD",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210421275",
            "telephone_number": "703-359-9200",
            "fax_number": "866-467-9404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3923 OLD LEE HWY",
            "address_2": "SUITE 61A",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302428",
            "telephone_number": "703-359-9200",
            "fax_number": "866-467-9404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTHMAN",
        "first_name": "RICHARD",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-15",
        "last_updated": "2008-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084B0002X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Obesity Medicine",
            "state": "MD",
            "license": "D34382",
            "primary": false
        },
        {
            "code": "2084B0002X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Obesity Medicine",
            "state": "VA",
            "license": "0101040220",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101040220",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D34382",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Stephen Ross, MD
• Anna T Rossman
• Soheil Rostami, DDS
• Alexandra Roth, LCSW
• Olivia Roth
• John F. Rothrock, MD
• Jaclyn Rotier, OTR/L
• Rowan Center for Behavioral Medicine, a Psychological Corporation
• Kelly Rowe, MS
• Karenna M. Rowenhorst, MA, CCC-SLP

• Psychiatry Physician in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Psychiatry Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.