LAKE LINGANORE PSYCHIATRY, PLLC
NPI 1720864945
Nurse Practitioner - Psychiatric/Mental Health in Frederick, MD

Active since September 04, 2023
617 W PATRICK ST STE 223, FREDERICK, MD 21701(240) 405-8084 Get Directions Write a Review

NPPES record last updated: June 11, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 11, 2024, Sep 4, 2023 (2 updates tracked since 2023).

About Lake Linganore Psychiatry, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKE LINGANORE PSYCHIATRY, PLLC (NPI 1720864945) is a healthcare organization registered as a psychiatric/mental health in Frederick, Maryland and active in the NPI registry since September 2023. The organization lists Marie Sheila Tate, Manager, as its authorized official.

NPPES Registry Identity

NPI1720864945
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameLAKE LINGANORE PSYCHIATRY, PLLC
Location Address617 W PATRICK ST STE 223Frederick, MD 21701-4027
Mailing Address201 E Patrick StFrederick, MD 21705-7501 · (240) 405-8084
Organization SubpartNo
Authorized OfficialMarie Sheila TateManager · (240) 405-8084
Enumeration DateSeptember 4, 2023
Last NPPES UpdateJune 11, 20242 updates tracked since enumeration
NPPES CertifiedJune 11, 2024
NPI 1720864945 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
617 W PATRICK ST STE 223, Frederick, MD 21701

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Psychiatric/Mental Health)
617 W PATRICK ST STE 223
FREDERICK, MD 21701

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lake Linganore Psychiatry, PLLC's NPI number?

The NPI number for Lake Linganore Psychiatry, PLLC is 1720864945. It was assigned to this organization in the NPPES registry on September 4, 2023.

Where is Lake Linganore Psychiatry, PLLC located?

Lake Linganore Psychiatry, PLLC is located at 617 W Patrick St Ste 223, Frederick, MD 21701. The listed phone number is (240) 405-8084.

What is Lake Linganore Psychiatry, PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Lake Linganore Psychiatry, PLLC was last updated on June 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.