NPIMap

Individual provider Active NPI

Andrew B. Johnson, M.D.

  • Psychiatry Physician
  • Frederick, MD
National Provider Identifier
1972584233
Registry record updated Feb 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
D0072986 Issued in MD
Practice address
5301 Buckeystown Pike
Frederick, MD 21704-8370
Phone
(301) 733-0330
Fax
(301) 733-4038
NPI assigned
Nov 14, 2005
Last updated
Feb 15, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X D0072986 MD Primary

Addresses

Primary practice location

5301 Buckeystown Pike
Frederick, MD 21704-8370

Mailing address

13121 Brook Lane
Hagerstown, MD 21742-1514
Phone (301) 733-0330

Other practice location 1

5301 Buckeystown Pike
Frederick, MD 21704-8370
Phone (301) 733-0330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111108000478 MD Practitioner - Psychiatry 1052483112 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Texas Medical School at Houston, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carroll Health Group LLCGroup PAC ID 3870627029, 68 clinicians

Practice addresses (Care Compare)

200 Memorial Ave
Westminster, MD 21157-5726
Phone (410) 848-3000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.16 of 100Reported as group
Quality
75.05
Promoting interoperability
100
Improvement activities
40
Cost
68.82

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Brook Lane Behavioral Services, Inc. CurrentSince Nov 7, 2011 Accepting new patients
Brook Lane Health Services, Inc. CurrentSince Nov 7, 2011 Accepting new patients
Brook Lane Behavioral Services, Inc. Current Accepting new patients
Carroll Health Group, LLC Psychiatry CurrentSince Sep 10, 2018 Accepting new patients
Ut Physicians Psychiatry Past Accepting new patients
The University of Texas Health Science Center at Houston Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
University of Texas Health Science Center at Houston Psychiatry Past Accepting new patients
University of Texas Health Science Center at Houston Past Accepting new patients
Carroll Hospital Center, Inc. Past Accepting new patients

Locations

4540 Mack Ave
Ste B
Frederick, MD 21703
Phone (301) 698-5665

5301 Buckeystown Pike
Ste 170
Frederick, MD 21704
Phone (240) 575-9688

193 Stoner Ave
Ste 220
Westminster, MD 21157
Phone (410) 871-2204

200 Memorial Ave
Westminster, MD 21157
Phone (410) 848-3000

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1131926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518652800000",
    "number": "1972584233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13121 BROOK LANE",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217421514",
            "telephone_number": "301-733-0330",
            "fax_number": "301-733-4038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 BUCKEYSTOWN PIKE",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217048370",
            "telephone_number": "301-733-0330",
            "fax_number": "301-733-4038"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5301 Buckeystown Pike",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217048370",
            "country_code": "US",
            "telephone_number": "301-733-0330",
            "fax_number": "301-733-4038",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ANDREW",
        "middle_name": "B.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-14",
        "last_updated": "2018-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D0072986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

Verify at the official NPI Registry.