Healthcare Provider Details

I. General information

NPI: 1255981767
Provider Name (Legal Business Name): BRIAN SCHOPFER PSY.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/17/2019
Last Update Date: 01/28/2025
Certification Date: 01/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4860 S PALMER RD OFC 2105
BETHESDA MD
20889-6300
US

IV. Provider business mailing address

4860 S PALMER RD OFC 2105
BETHESDA MD
20889-5649
US

V. Phone/Fax

Practice location:
  • Phone: 301-319-3741
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number06916
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number06916
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: