Healthcare Provider Details

I. General information

NPI: 1902816044
Provider Name (Legal Business Name): RICHARD FELDSTEIN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/09/2006
Last Update Date: 11/23/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7131 ARLINGTON RD APT #246
BETHESDA MD
20814-2903
US

IV. Provider business mailing address

7131 ARLINGTON RD APT #246
BETHESDA MD
20814-2903
US

V. Phone/Fax

Practice location:
  • Phone: 912-433-0970
  • Fax:
Mailing address:
  • Phone: 912-433-0970
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number4301030701
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number061579
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: