Lazarus Psychiatry LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

LAZARUS PSYCHIATRY LLC

Practice address

7201 Wisconsin Ave Ste 440No175
Bethesda, MD 20814-4810

Phone

(202) 236-4669

Fax

(708) 879-8208

NPI assigned

Jul 22, 2020

Organization subpart

No

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

Authorized official

Name

Jae Hoon KimNPI 1760726525

Title

Owner

Phone

(202) 236-4669

Specialties & licenses 1

Addresses

Other names 2

• Lazarus Psychiatry LLC Doing business as
• Lazarus Psychiatry Former legal business name

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Locations

Practitioners 1

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

• Jae Hoon Kim, CRNP-PMH

  • Psychiatric/Mental Health Nurse Practitioner
  • Bethesda, MD
  • NPI 1760726525

  DC

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1595376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787443200000",
    "number": "1962011205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7201 WISCONSIN AVE STE 440",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208144851",
            "telephone_number": "202-236-4669",
            "fax_number": "708-879-8208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7201 WISCONSIN AVE STE 440NO175",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208144810",
            "telephone_number": "202-236-4669",
            "fax_number": "708-879-8208"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7535 Little River Tpke Ste 200A",
            "address_purpose": "LOCATION",
            "city": "Annandale",
            "state": "VA",
            "postal_code": "220032988",
            "country_code": "US",
            "telephone_number": "202-236-4669",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LAZARUS PSYCHIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-22",
        "last_updated": "2026-08-23",
        "certification_date": "2026-08-23",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JAE HOON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-236-4669"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://hushforms.com/lazaruspsychiatry-secure-file-transfer",
            "affiliation": "Y",
            "endpointDescription": "Secure Web Form for receiving confidential patient information",
            "affiliationName": "Lazarus Psychiatry LLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Protected Health Information",
            "address_1": "7535 Little River Tpke Ste 200A",
            "city": "Annandale",
            "state": "VA",
            "country_code": "US",
            "postal_code": "220032988",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://hushforms.com/lazaruspsychiatry-secure-file-transfer",
            "affiliation": "Y",
            "endpointDescription": "secure web form to receive confidential patient information",
            "affiliationName": "Lazarus Psychiatry LLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Protected Health Information",
            "address_1": "7201 Wisconsin Ave Ste 440No175",
            "city": "Bethesda",
            "state": "MD",
            "country_code": "US",
            "postal_code": "208144810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Lazarus Psychiatry LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lazarus Psychiatry",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Lazarus Psychiatry",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Tameka Lawrence
• Brandi E Laws, RN
• Keith Lawson
• Faye M Layne
• Susan Gaber Lazar, MD
• Angeline Abraham Lazarus, MD
• Megan Lazerow
• Le Visage ENT & Facial Plastic
• Annie Le
• Carolyn Le, DNP, AGNP-C, CRNP

• Psychiatric/Mental Health Nurse Practitioner in Bethesda, MD
• Providers in Bethesda, MD by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.