Individual provider Active NPI

Lucie Greenblum

  • Psychiatry Physician
  • Bethesda, MD
National Provider Identifier
1841496080
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
D0031140 Issued in MD
Practice address
5415 Kirkwood Dr
Bethesda, MD 20816-1361
Phone
(301) 320-6885
NPI assigned
Jun 25, 2007
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 D0031140 MD Primary

Addresses

Primary practice location

5415 Kirkwood Dr
Bethesda, MD 20816-1361

Mailing address

5415 Kirkwood Dr
Bethesda, MD 20816-1361
Phone (301) 320-6885

Other names 1

  • Dr. Lucie Greenblum Hutchinson Other name

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
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jul 1, 2012 through Jul 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
D0031140MDMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841496080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5415 KIRKWOOD DR",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208161361",
            "telephone_number": "301-320-6885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5415 KIRKWOOD DR",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208161361",
            "telephone_number": "301-320-6885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENBLUM",
        "first_name": "LUCIE",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D0031140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LUCIE",
            "last_name": "HUTCHINSON",
            "middle_name": "GREENBLUM",
            "prefix": "DR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bethesda, MD

Sources for this page

Verify at the official NPI Registry.