KINGSBURY WELLNESS AND LEARNING GROUP (NPI# 1154983401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154983401 |
| Entity Type | Organization |
| Organization Name | KINGSBURY WELLNESS AND LEARNING GROUP |
| Practice Address |
5000 14th St Nw Washington DC 20011-6926 |
| Practice Telephone | 2025452410 |
| Mailing Telephone | 2025452410 |
| Enumeration Date | 2019-07-07 |
| Last Update Date | 2019-07-07 |
| Authorized Official Name | DR. ELLIOTT LANGLOIS CONKLIN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7039820211 |
| Authorized Official Credential | PSY.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
Ambulatory Health Care Facilities | ||
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Street Address |
5000 14TH ST NW |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20011-6926 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245351956 | The Kingsbury Center Inc. | Counselor | 5000 14th St Nw, Washington, DC 20011-6926 | 2007-04-02 |
| 1659812626 | Alexandra Paige Sullivan | Speech-Language Pathologist | 5000 14th St Nw, Washington, DC 20011-6926 | 2017-03-10 |
| 1871948091 | Fran Rubinetti | Psychologist | 5000 14th St Nw, Washington, DC 20011-6926 | 2016-04-25 |
| 1962856484 | Lauren Siegel | Psychologist | 5000 14th St Nw, Washington, DC 20011-6926 | 2016-04-21 |
| 1407200058 | Marissa Analouei | Speech-Language Pathologist | 5000 14th St Nw, Washington, DC 20011-6926 | 2016-04-20 |
| 1043664782 | Kara Covington | Counselor | 5000 14th St Nw, Washington, DC 20011-6926 | 2016-04-19 |
| 1538513411 | Jacquelyn Merlehan | Occupational Therapist | 5000 14th St Nw, Washington, DC 20011-6926 | 2016-04-18 |
| 1356795231 | Melissa Hulton | Occupational Therapist | 5000 14th St Nw, Washington, DC 20011-6926 | 2016-04-18 |
| 1265886147 | Cheryl Farley | Physical Therapist | 5000 14th St Nw, Washington, DC 20011-6926 | 2016-04-18 |
| 1700230687 | Brenda Lew | Occupational Therapist | 5000 14th St Nw, Washington, DC 20011-6926 | 2016-04-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851999239 | Anna Gwanyama | Licensed Practical Nurse | 6120 Kansas Avenue Northwest, Washington D.c, DC 20011 | 2020-10-16 |
| 1861005399 | Christine Jokisch | Social Worker | 33rd Riggs Rd Ne, Washington, DC 20011 | 2020-08-25 |
| 1407403645 | Allied Healthcare Group LLC | Home Health | 6120 Kansas Ave, Nw, 1st Floor, A, Washington, DC 20011 | 2019-08-22 |
| 1871146548 | Bernice Mccallum | Technician | 1336 Missouri Ave. N.w #321, Washington, DC 20011 | 2019-07-22 |
| 1114586484 | District Urgent Care Professional Corporation | Clinic/Center | 4903-b Georgia Av, Washington, DC 20011 | 2019-06-11 |
| 1053978908 | Aminata U Nabie | Licensed Practical Nurse | 6120 Kansas Ave., Nw, Washington, DC 20011 | 2019-05-28 |
| 1831656768 | Prudence Dakam Siewe | Home Health Aide | 931 Longfellow St Nw, 311, Washington, DC 20011 | 2019-02-27 |
| 1750858304 | Hilary Lauren Kulig | Counselor | 100 Galentine St. Ne, Washington, DC 20011 | 2018-10-31 |
| 1154807444 | Emebet Dessalgn Atnaw | Home Health Aide | 6040 13th Pl Nw Apt 306, Washington, DC 20011 | 2018-07-19 |
| 1881185213 | Quality One Care Home Health Inc. | Home Health | 143 Kennedy St Nw Ste 14, Washington, DC 20011 | 2018-05-22 |
| Find all providers in zip 20011 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134736747 | Jennifer Virgo Therapy, Pllc | Clinic/Center | 3902 14th St Nw Apt 621, Washington, DC 20011-5444 | 2020-09-28 |
| 1730799974 | Keisha Nicole Keith | Clinic/Center | 2625 Patricia Roberts Harris Pl Ne, Washington, DC 20018-1614 | 2020-08-03 |
| 1710503784 | Inner Banks Counseling Inc. | Clinic/Center | 305 Pine Ln, Washington, NC 27889-9674 | 2020-06-24 |
| 1023634573 | Cqc Healthcare, LLC | Clinic/Center | 1100 New Jersey Ave Se # 2145, Washington, DC 20003-3302 | 2020-06-21 |
| 1083237457 | Unity Health Care, Inc. | Clinic/Center | 1501 Rhode Island Ave Nw, Washington, DC 20005-5504 | 2020-05-20 |
| 1477174803 | Unity Health Care, Inc. | Clinic/Center | 10 I St Sw, Washington, DC 20024-4266 | 2020-04-27 |
| 1922627546 | Unity Health Care, Inc | Clinic/Center | 2305 New York Ave Ne, Washington, DC 20002-1905 | 2020-04-14 |
| 1033738653 | Unity Health Care, Inc | Clinic/Center | 1917 Bladensburg Rd Ne, Washington, DC 20002-1811 | 2020-04-14 |
| 1376162040 | Unity Health Care, Inc. | Clinic/Center | 1615 New York Ave Ne, Washington, DC 20002-1725 | 2020-04-13 |
| 1518427970 | Patrons Healthcare Services | Clinic/Center | 7826 Eastern Ave Nw Ste 412d, Washington, DC 20012-1324 | 2019-03-21 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20011 |
Please comment or provide details below to improve the information on KINGSBURY WELLNESS AND LEARNING GROUP.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.