Healthcare Provider Details

I. General information

NPI: 1790358927
Provider Name (Legal Business Name): CAPITAL MENTAL HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2021
Last Update Date: 07/24/2021
Certification Date: 07/24/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5454 WISCONSIN AVE STE 1275
CHEVY CHASE MD
20815-6933
US

IV. Provider business mailing address

5454 WISCONSIN AVE STE 1275
CHEVY CHASE MD
20815-6933
US

V. Phone/Fax

Practice location:
  • Phone: 240-743-4535
  • Fax: 240-483-0862
Mailing address:
  • Phone: 240-743-4535
  • Fax: 240-483-0862

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. BARBARA BYERS
Title or Position: CO-PRESIDENT
Credential: MD
Phone: 240-743-4535