Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Frederick Psychiatric Medicine

Organization Psychiatry Physician · NPI 1619411121

Frederick Psychiatric Medicine is a Psychiatry Physician in Ijamsville, Maryland. Licensed in Maryland. Registered with an NPI since 2016.

Licensed in
MD
In the registry since
2016
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Practice location Address checks out

10001 Pebble Beach Ter
Ijamsville, MD 21754-9147
Phone: (301) 606-7785
Fax: (240) 310-1927
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence DOO44857 (MD)

Record details

NPI number1619411121
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Corvin Robinson — Owner · (301) 606-7785
NPI enumeratedDecember 19, 2016
Last updated in NPPESDecember 19, 2016
Mailing address10001 Pebble Beach Ter, Ijamsville, MD 21754-9147