Provider Demographics
NPI:1396766986
Name:EPSTEIN, ADAM M (PSYD)
Entity type:Individual
Prefix:DR
First Name:ADAM
Middle Name:M
Last Name:EPSTEIN
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11124 SCEPTRE RIDGE TER
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20876-6342
Mailing Address - Country:US
Mailing Address - Phone:301-300-6804
Mailing Address - Fax:
Practice Address - Street 1:11124 SCEPTRE RIDGE TER
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:MD
Practice Address - Zip Code:20876-6342
Practice Address - Country:US
Practice Address - Phone:301-300-6804
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-21
Last Update Date:2020-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD05937103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLE1140Medicare ID - Type UnspecifiedFL PROVIDER NUMBER
FLS61966Medicare UPIN