Individual provider Active NPI

Lisa Yvonne Reichard, M.D.

  • Psychiatry Physician
  • Baltimore, MD
National Provider Identifier
1790799500
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
D0056120 Issued in MD
Practice address
701 W Pratt St
3Rd Floor
Baltimore, MD 21201-1023
Phone
(410) 328-2539
Fax
(410) 328-5882
NPI assigned
Jul 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 D0056120 MD Primary

Addresses

Primary practice location

701 W Pratt St
3Rd Floor
Baltimore, MD 21201-1023

Mailing address

960 Fell St
Unit 510
Baltimore, MD 21231-3520
Phone (443) 538-5678

Other identifiers 1

IdentifierTypeStateIssuer
403725100MedicaidMD

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040414001598 MD Practitioner - Psychiatry 8820082415 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Puerto Rico School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pathways IncGroup PAC ID 8527160597, 16 clinicians

Practice addresses (Care Compare)

44101 Airport View Dr
Hollywood, MD 20636-3145
Phone 3013733065241

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0056120MDMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pathways Inc CurrentSince Oct 19, 2013 Accepting new patients
Pathways Inc CurrentSince Oct 19, 2013 Accepting new patients
University of Maryland Psychiatry Associates PA PastSince Oct 12, 2025 Accepting new patients
Rci Clinical Psychiatric Services, Inc. Past Accepting new patients
University of Maryland Psychiatry Associates, PA Psychiatry Past Accepting new patients
Apex Counseling Center, LLC PastSince Jan 31, 2005 Accepting new patients

Locations

44101 Airport View Dr
Hollywood, MD 20636
Phone (301) 373-3065

2670 Crain Hwy
Ste 300
Waldorf, MD 20601
Phone (301) 373-3065

Organizations & group practices 6

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": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790799500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 FELL ST",
            "address_2": "UNIT 510",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212313520",
            "telephone_number": "443-538-5678",
            "fax_number": "410-328-5882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 W PRATT ST",
            "address_2": "3RD FLOOR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011023",
            "telephone_number": "410-328-2539",
            "fax_number": "410-328-5882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REICHARD",
        "first_name": "LISA",
        "middle_name": "YVONNE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D0056120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "403725100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.