Individual provider Active NPI

Maryland Pao, M.D.

  • Child & Adolescent Psychiatry Physician
  • Bethesda, MD
National Provider Identifier
1962638288
Registry record updated Jun 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
D37259 Issued in MD
Practice address
10 Center Dr
Building 10 CRC 6-5340 MSC 1276
Bethesda, MD 20892-0001
Phone
(301) 435-5770
Fax
(301) 402-2588
NPI assigned
Jun 1, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2009

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychosomatic Medicine Physician 2084P0015X D37259 MD
Psychiatry Physician 2084P0800X D37259 MD
Child & Adolescent Psychiatry Physician 2084P0804X D37259 MD Primary

Addresses

Primary practice location

10 Center Dr
Building 10 CRC 6-5340 MSC 1276
Bethesda, MD 20892-0001

Mailing address

10 Center Drive
Building 10 CRC 6-5340 MSC 1276
Bethesda, MD 20892-1276
Phone (301) 435-5770

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: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D37259MDMDPsychosomatic Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1243814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243814400000",
    "number": "1962638288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CENTER DRIVE",
            "address_2": "BUILDING 10 CRC 6-5340 MSC 1276",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208921276",
            "telephone_number": "301-435-5770",
            "fax_number": "301-402-2588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CENTER DR",
            "address_2": "BUILDING 10 CRC 6-5340 MSC 1276",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208920001",
            "telephone_number": "301-435-5770",
            "fax_number": "301-402-2588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAO",
        "first_name": "MARYLAND",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-01",
        "last_updated": "2009-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0015X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychosomatic Medicine",
            "state": "MD",
            "license": "D37259",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D37259",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "MD",
            "license": "D37259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

Verify at the official NPI Registry.