Provider Demographics
NPI:1952823445
Name:OPEN DOOR PSYCHIATRIC ASSOCIATES, LLC
Entity Type:Organization
Organization Name:OPEN DOOR PSYCHIATRIC ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:BITHIAH
Authorized Official - Middle Name:RAE
Authorized Official - Last Name:REED
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, ABPP, MSCP
Authorized Official - Phone:240-630-2220
Mailing Address - Street 1:5906 BEECH AVE
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20817-3423
Mailing Address - Country:US
Mailing Address - Phone:240-630-2220
Mailing Address - Fax:
Practice Address - Street 1:3717 DECATUR AVE STE 1
Practice Address - Street 2:
Practice Address - City:KENSINGTON
Practice Address - State:MD
Practice Address - Zip Code:20895-2148
Practice Address - Country:US
Practice Address - Phone:240-630-2220
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-17
Last Update Date:2017-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD04376103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty