LAZARUS PSYCHIATRY LLC
NPI 1962011205
Nurse Practitioner - Psychiatric/Mental Health in Bethesda, MD

Q: What is Lazarus Psychiatry LLC's NPI number?

The NPI number for Lazarus Psychiatry LLC is 1962011205. It was assigned to this organization in the NPPES registry on July 22, 2020. The provider was formerly known as Lazarus Psychiatry.

Q: What is Lazarus Psychiatry LLC's specialty?

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

Active since July 22, 2020

7201 WISCONSIN AVE STE 440NO175, BETHESDA, MD 20814(202) 236-4669(708) 879-8208 Get Directions Write a Review

NPPES record last updated: August 23, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 23, 2026, Jul 19, 2026, Sep 12, 2022 and 6 more (9 updates tracked since 2020).

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About Lazarus Psychiatry Llc NPPES

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

LAZARUS PSYCHIATRY LLC (NPI 1962011205) is a healthcare organization registered as a psychiatric/mental health in Bethesda, Maryland and active in the NPI registry since July 2020. The organization maintains a secondary practice location in Annandale and lists Jae Hoon Kim, Owner, as its authorized official.

NPPES Registry Identity

NPI1962011205

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameLAZARUS PSYCHIATRY LLC

Location Address7201 WISCONSIN AVE STE 440NO175Bethesda, MD 20814-4810

Mailing Address7201 Wisconsin Ave Ste 440Bethesda, MD 20814-4851 · (202) 236-4669 · Fax (708) 879-8208

Phone(202) 236-4669

Fax(708) 879-8208

Organization SubpartNo

Authorized OfficialJae Hoon KimOwner · (202) 236-4669

Enumeration DateJuly 22, 2020

Last NPPES UpdateAugust 23, 20269 updates tracked since enumeration

NPPES CertifiedAugust 23, 2026

✔ NPI 1962011205 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

7201 WISCONSIN AVE STE 440NO175, Bethesda, MD 20814

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Other Names 2

Doing Business AsLazarus Psychiatry Llc

Former Legal Business NameLazarus Psychiatry

Secondary Practice Location 1

Location 17535 Little River Tpke Ste 200AAnnandale, VA 22003-2988 · Phone (202) 236-4669

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lazarus Psychiatry Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Lazarus Psychiatry LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jae Hoon Kim, CRNP-PMH

Nurse Practitioner

NPI 1760726525

7201 WISCONSIN AVE STE 440
Bethesda, MD 20814

(202) 236-4669

✔ PECOS✔ Accepts MedicareSame address

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 Lazarus Psychiatry LLC's NPI number?

The NPI number for Lazarus Psychiatry LLC is 1962011205. It was assigned to this organization in the NPPES registry on July 22, 2020. The provider was formerly known as Lazarus Psychiatry.

Where is Lazarus Psychiatry LLC located?

Lazarus Psychiatry LLC is located at 7201 Wisconsin Ave Ste 440no175, Bethesda, MD 20814. The listed phone number is (202) 236-4669.

What is Lazarus Psychiatry LLC's specialty?

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

Is Lazarus Psychiatry LLC enrolled in Medicare?

Yes. Lazarus Psychiatry LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lazarus Psychiatry LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Lazarus Psychiatry LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Lazarus Psychiatry LLC was last updated on August 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.