Active NPI
Lily Gutmann, PH.D.
- Psychologist
- Bethesda, MD
National Provider Identifier
1821406372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 03051
- Practice address
- 4405 E West Hwy Ste 512
Bethesda, MD 20814-4536 - Phone
- (301) 996-0165
- NPI assigned
- Jul 29, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 03051 | MD | Primary |
Addresses
Primary practice location
4405 E West Hwy Ste 512
Bethesda, MD 20814-4536
Mailing address
6410 Dahlonega Rd
Bethesda, MD 20816-2102
Phone (301) 996-0165
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210303002158 | DC | Practitioner - Clinical Psychologist | 8921414699 | Practice locations: Bethesda, MD |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4405 E W Hwy
Suite 512
Bethesda, MD 20814-4536
Phone (301) 996-0165
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03051 | MD | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559260800000",
"number": "1821406372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6410 DAHLONEGA RD",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208162102",
"telephone_number": "301-996-0165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4405 E WEST HWY STE 512",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208144536",
"telephone_number": "301-996-0165"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUTMANN",
"first_name": "LILY",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-29",
"last_updated": "2019-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MD",
"license": "03051",
"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 May 31, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.