Loren J. Amdursky, M.D.
Individual provider Active NPI Child & Adolescent Psychiatry Physician · Chevy Chase, MD
NPI 1982823977 · NPPES record last updated Jun 19, 2023
Key facts
- NPI
- 1982823977
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Child & Adolescent Psychiatry Physician 2084P0804X
- License
- D033660 (MD)
- Practice address
- 5480 Wisconsin Ave.
227
Chevy Chase, MD 20815-3500 - Phone
- (301) 806-7695
- Fax
- (301) 349-3240
- NPI assigned
- Apr 25, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
- Opted out of Medicare
- Yes, effective Apr 4, 2012 through Apr 4, 2028
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D033660 | MD | MD | Child & Adolescent Psychiatry Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | D033660 | MD | Yes |
Addresses
Primary practice location
5480 Wisconsin Ave.
227
Chevy Chase, MD 20815-3500
Mailing address
5480 Wisconsin Ave.
#227
Chevy Chase, MD 20815-3500
Phone (301) 806-7695
NPI Registry JSON
{
"created_epoch": "1177459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687132800000",
"number": "1982823977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5480 WISCONSIN AVE.",
"address_2": "#227",
"city": "CHEVY CHASE",
"state": "MD",
"postal_code": "208153500",
"telephone_number": "301-806-7695",
"fax_number": "301-349-3240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5480 WISCONSIN AVE.",
"address_2": "227",
"city": "CHEVY CHASE",
"state": "MD",
"postal_code": "208153500",
"telephone_number": "301-806-7695",
"fax_number": "301-349-3240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMDURSKY",
"first_name": "LOREN",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-25",
"last_updated": "2023-06-19",
"certification_date": "2023-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "MD",
"license": "D033660",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chevy Chase, MD
- Elena Hardy Allbritton
- Anna Allshouse
- Alma Dea Plastic Surgery, LLC
- Nabil Altememi
- Sumedh Ambardar
- American Pain and Wellness Centers LLC
- Lasya Ampaty
- Anca G. Zinnes, MD LLC
- Jeffrey Andrews
- Trevor Andrews
All providers in Chevy Chase, MD · Child & Adolescent Psychiatry Physician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 19, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.