Provider Type Icon

FREDERICK PSYCHIATRIC MEDICINE NPI 1861626707


NPI Information

NPI: 1861626707
Provider Name: FREDERICK PSYCHIATRIC MEDICINE
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
13218 BROOKLANE DR
HAGERSTOWN, MD
ZIP 21742
Phone: (240) 527-2082
Get Directions

FREDERICK PSYCHIATRIC MEDICINE is a specialist in Hagerstown, MD. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. FREDERICK PSYCHIATRIC MEDICINE NPI is 1861626707. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

13218 BROOKLANE DR
HAGERSTOWN, MD
ZIP 21742-435
Phone: (240) 527-2082
Fax: (240) 310-1927

The provider's authorized official is Corvin V. Robinson .
The authorized official title is Md and has the following contact phone number (301) 606-7785.

The enumeration date for this NPI number is 5/6/2009 and was last updated on 12/19/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistD0044857MARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1SB580OTHERMARYLANDBC/BS
2MDMCDMEDICAIDMARYLAND
3SKMDOMEDICAIDMARYLAND
460054OTHERMARYLANDAETNA
5SX173OTHERMARYLANDBEACON HEALTH
6F97005MEDICARE UPINMARYLAND
700823OTHERMARYLANDVALUE OPTIONS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.