NPIMap

Organization Active NPI

Frederick Psychiatric Medicine

  • Specialist
  • Hagerstown, MD
National Provider Identifier
1861626707
Registry record updated Dec 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
D0044857 Issued in MD
Legal business name
FREDERICK PSYCHIATRIC MEDICINE
Practice address
13218 Brooklane Dr
Hagerstown, MD 21742-1435
Phone
(240) 527-2082
Fax
(240) 310-1927
NPI assigned
May 6, 2009
Last updated
Dec 19, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2016

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

Authorized official

Name
Dr. Corvin V. RobinsonNPI 1548244841
Title
MD
Phone
(301) 606-7785

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X D0044857 MD Primary

Addresses

Primary practice location

13218 Brooklane Dr
Hagerstown, MD 21742-1435

Mailing address

PO Box 1945
Hagerstown, MD 21742-1945
Phone (301) 606-7785

Other identifiers 6

IdentifierTypeStateIssuer
SB580OtherMDBC/BS
MDMCDMedicaidMD
00823OtherMDVALUE OPTIONS
SX173OtherMDBEACON HEALTH
60054OtherMDAETNA
SKMDOMedicaidMD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1241568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482105600000",
    "number": "1861626707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1945",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217421945",
            "telephone_number": "301-606-7785",
            "fax_number": "240-310-1927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13218 BROOKLANE DR",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217421435",
            "telephone_number": "240-527-2082",
            "fax_number": "240-310-1927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDERICK PSYCHIATRIC MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-06",
        "last_updated": "2016-12-19",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "CORVIN",
        "authorized_official_middle_name": "V.",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "301-606-7785",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "D0044857",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "SB580",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MDMCD",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "00823",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEACON HEALTH",
            "identifier": "SX173",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "60054",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SKMDO",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.