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

Dr. Jack D Blaine, MD

Individual provider Psychiatry Physician · NPI 1720139199

Dr. Jack D Blaine, MD is a Psychiatry in Bethesda, Maryland. Graduated from Albert Einstein College of Medicine of Yeshiva University in 1968, 58 years ago. Practices as a sole proprietor and offers telehealth. Licensed in Maryland.

Years since qualifying
58
Trained at
Albert Einstein College of Medicine of Yeshiva University
Licensed in
MD
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

4400 E West Hwy Ste 225
Bethesda, MD 20814-4524
Phone: (301) 983-4493
Fax: (301) 983-9379
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence D0004502 (MD)

Record details

NPI number1720139199
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJanuary 14, 2007
Last updated in NPPESJuly 8, 2007
Mailing address10821 Larkmeade Ln, Potomac, MD 20854-2704

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolALBERT EINSTEIN COLLEGE OF MEDICINE OF YESHIVA UNIVERSITY
Graduated 1968 (58 years in practice)
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

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