Healthcare Provider Details

I. General information

NPI: 1790850394
Provider Name (Legal Business Name): CHERYL LYNN COLLINS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/21/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4000 ALBEMARE ST NW SUITE 600
WASHINGTON DC
20016
US

IV. Provider business mailing address

4000 ALBEMARE ST NW SUITE 600
WASHINGTON DC
20016
US

V. Phone/Fax

Practice location:
  • Phone: 202-537-7045
  • Fax: 301-652-0599
Mailing address:
  • Phone: 202-537-7045
  • Fax: 301-652-0599

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberMD32346
License Number StateDC
# 2
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License NumberMD32346
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: