Active NPI
Bright Horizons Psychiatry LLC
- Psychiatry Physician
- Frederick, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amir Etesam, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 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
National Provider Directory
National Provider Directory- Tax ID family
- Bright Horizons Psychiatry
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Psychiatry Physician
- Frederick, MD
- NPI 1205754918
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.