Providence Health Services, Inc in Washington - Psychologist

Providence Health Services, Inc - NPI 1609031632

Providence Health Services, Inc is a Psychologist in Washington, District Of Columbia. Providence Health Services, Inc practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Providence Health Services, Inc is 1609031632. The last update date is 2023-10-20.

Providence Health Services, Inc's current location address is 1140 Varnum St Ne Ste 100, Washington, District Of Columbia. You can contact this provider via phone number 2028547623 and fax number 2028547616. The mailing address for Providence Health Services, Inc is 1140 Varnum St Ne Ste 100, Washington, District Of Columbia. To know further, please read the information below!

Provider Profile Detail

Provider Organization Providence Health Services, Inc
Address 1140 Varnum St Ne Ste 100, Washington, District Of Columbia
Phone Number 2028547623
Fax Number 2028547616
Sole Proprietor --
Credentials --

Authorized Official

Title or Position VICE PRESI
Authorized Official Name Lomax Mitchell
Telephone Number 6672342926

NPI Number Detail

NPI Number 1609031632
Provider Enumeration Date 2008-07-18
Last Updated Date 2023-10-20

Provider Mailing Address Detail

Address 1140 Varnum St Ne Ste 100
City Washington
State District Of Columbia (DC)
Post Code 20017
Phone Number 2028547623
Fax Number 2028547616

Provider's Primary Taxonomy Detail

Speciality Psychologist
Taxonomy 103T00000X
Licence No HFD01-0212
Definition:
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
985415100 MD --

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FAQs about Providence Health Services, Inc

What is the unique 10-digit identifier code issued to Providence Health Services, Inc by the Centers for Medicare & Medicaid Services?

The Providence Health Services, Inc has been assigned the NPI (National Provider Identifier) 1609031632 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete address where Providence Health Services, Inc is physically located?

The Providence Health Services, Inc is situated at the following address: 1140 Varnum St Ne Ste 100, Washington, DC 20017.

What is Providence Health Services, Inc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Providence Health Services, Inc is Psychologist, and the taxonomy code that classifies this field of practice is 103T00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1609031632 to Providence Health Services, Inc?

The Providence Health Services, Inc received its 1609031632 assignment from the Centers for Medicare & Medicaid Services on 2008-07-18.

As of what date was the information pertaining to Providence Health Services, Inc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Providence Health Services, Inc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2023-10-20.

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