Organization Active NPI

Bright Horizons Psychiatry LLC

  • Psychiatry Physician
  • Frederick, MD
National Provider Identifier
1922709146
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
BRIGHT HORIZONS PSYCHIATRY LLC
Practice address
7360 Guilford Dr Ste 100
Frederick, MD 21704-5128
Phone
(240) 599-1001
Fax
(240) 599-1002
NPI assigned
Mar 14, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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

Authorized official

Name
Amir Etesam, MDNPI 1588144588
Title
Owner
Phone
(240) 599-1001

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

7360 Guilford Dr Ste 100
Frederick, MD 21704-5128

Mailing address

6000 Executive Blvd Ste 101
North Bethesda, MD 20852-3816
Phone (240) 599-1001

Other practice location 1

6000 Executive Blvd Ste 101
North Bethesda, MD 20852-3816
Phone (240) 599-1001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230629002549 DC Part B Supplier - Clinic/Group Practice 6608235213 Receives reassigned benefits from 5 practitioners
Practice locations: North Bethesda, MD

National Provider Directory

National Provider Directory
Tax ID family
Bright Horizons Psychiatry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7360 Guilford Dr
Ste 100
Frederick, MD 21704

6000 Executive Blvd
Ste 101
Rockville, MD 20852
Phone (240) 599-1001

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1678752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781049600000",
    "number": "1922709146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 EXECUTIVE BLVD STE 101",
            "city": "NORTH BETHESDA",
            "state": "MD",
            "postal_code": "208523816",
            "telephone_number": "240-599-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7360 GUILFORD DR STE 100",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217045128",
            "telephone_number": "240-599-1001",
            "fax_number": "240-599-1002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6000 Executive Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "North Bethesda",
            "state": "MD",
            "postal_code": "208523816",
            "country_code": "US",
            "telephone_number": "240-599-1001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BRIGHT HORIZONS PSYCHIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-14",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A",
        "authorized_official_last_name": "ETESAM",
        "authorized_official_first_name": "AMIR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-599-1001",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.