LAKE LINGANORE PSYCHIATRY, PLLC
NPI 1720864945
Nurse Practitioner - Psychiatric/Mental Health in Frederick, MD
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
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lake Linganore Psychiatry, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
8Medicare enrollment records show 8 clinicians reassign Medicare billing to Lake Linganore Psychiatry, PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 6 within 10 miles. They are listed nearest first.
Clinicians, nearest first (8)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Is Lake Linganore Psychiatry, PLLC enrolled in Medicare?
Yes. Lake Linganore Psychiatry, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Lake Linganore Psychiatry, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 2 Medicare specialties reassign their Medicare billing to Lake Linganore Psychiatry, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (7) and Clinical Psychologist (1). Of these, 2 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
# Lake Linganore Psychiatry, Pllc · NPI 1720864945
Psychiatric/Mental Health organization in Frederick, Maryland. Organization record, active in the CMS NPPES registry since September 4, 2023.
## Identity
- **NPI:** 1720864945 (Entity type: Organization)
- **Enumerated:** September 4, 2023
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Marie Tate, MANAGER
## Practice location
- **Address:** 617 W PATRICK ST STE 223, Frederick, MD 21701-4027
- **Phone:** (240) 405-8084
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 8 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (7), Clinical Psychologist (1); 2 practice at this address and 6 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 11, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1720864945) · Data from the CMS NPPES public registry.