Boris Tizenberg, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

D0097642 Issued in MD

Practice address

50 Carroll Creek Way Ste 320
Frederick, MD 21701-7106

Phone

(443) 708-5856

NPI assigned

Mar 26, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Sheppard Pratt Physicians, P.a.

  • Psychiatry Physician
  • Baltimore, MD
  • NPI 1518990712
  Medicare reassignment NPD

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

{
    "created_epoch": "1616716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783209600000",
    "number": "1790362465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 CARROLL CREEK WAY STE 320",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217017106",
            "telephone_number": "443-708-5856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 CARROLL CREEK WAY STE 320",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217017106",
            "telephone_number": "443-708-5856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIZENBERG",
        "first_name": "BORIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-26",
        "last_updated": "2026-07-05",
        "certification_date": "2026-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D0097642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neethu Mathew Thyparambil, P.T.
• Jennifer Tibbs, LCPC
• Lucy Minyu Tien
• Carrie Lyn Timme, PTA
• Christian F Tischer, MD
• TJ Orthodontics
• TLC Whitten Laser Eye Associates, LLC (TLC Laser Eye Centers Frederick)
• Wyatt Clarence To, MD
• Carol Tobias, RN
• Michael A Tolino, M.D.

• Psychiatry Physician in Frederick, MD
• Providers in Frederick, MD by specialty
• Psychiatry Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2026; 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.