THE MECCA GROUP (NPI# 1265550578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265550578 |
| Entity Type | Organization |
| Organization Name | THE MECCA GROUP |
| Practice Address |
1050 17th St Nw Suite 800 Washington DC 20036-5503 |
| Practice Telephone | 2025293117 |
| Practice Fax Number | 2025293117 |
| Mailing Telephone | 2025293117 |
| Mailing Fax Number | 2025293117 |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2014-02-24 |
| Authorized Official Name | DR. KEISHA L MACK (LICENSED CLINICAL PSYHOLOGIST) |
| Authorized Official Telephone | 2025293117 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers | ||
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
Behavioral Health & Social Service Providers |
| Street Address |
1050 17TH ST NW SUITE 800 |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20036-5503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184610925 | Karen Divinagracia Durana | Physical Therapist | 1050 17th St Nw, Ste 1000, Washington, DC 20036-5503 | 2005-09-27 |
| 1588191209 | Maria A Jimenez | Social Worker | 1050 17th St Nw, Suite 800, Washington, DC 20036-5503 | 2017-05-12 |
| 1902356850 | Washington Dc Center for Neurocognitive Excellence LLC | Social Worker | 1050 17th St Nw, Suite 800, Washington, DC 20036-5503 | 2016-10-04 |
| 1013382928 | Mia Paustian | Psychologist | 1050 17th St Nw, Ste 1000, Washington, DC 20036-5503 | 2015-12-02 |
| 1407220981 | Charlene Brathwaite | Social Worker | 1050 17th St Nw, Suite 800, Washington, DC 20036-5503 | 2015-11-20 |
| 1063888915 | Tiffani Allen | Counselor | 1050 17th St Nw, Suite 800, Washington, DC 20036-5503 | 2015-08-14 |
| 1548644263 | Harvest Hartsfield | Counselor | 1050 17th St Nw, Ste 1000, Washington, DC 20036-5503 | 2015-07-13 |
| 1962820225 | Isabella Suero-stackl | Social Worker | 1050 17th St Nw, Suite 1000, Washington, DC 20036-5503 | 2014-04-03 |
| 1083993125 | Stephanie K Speidel | Counselor | 1050 17th St Nw, Suite 800, Washington, DC 20036-5503 | 2011-08-08 |
| 1861780157 | Brian C Armstrong | Counselor | 1050 17th St Nw, Suite 1000, Washington, DC 20036-5503 | 2011-07-20 |
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| 1487266995 | Martha Johnson | Social Worker | 1555 Connective Ave Nw, #500w, Washington, DC 20036 | 2020-08-18 |
| 1629691092 | City Dental Dc- 2055 L, Pllc | Dentist | 2075 L Street, Nw, Washington, DC 20036 | 2020-05-20 |
| 1790305506 | Healing Roots Counseling, LLC | Counselor | 1555 Connecticut Ave, Nw Suite 401, Washington, DC 20036 | 2020-04-22 |
| 1396391124 | New Touch Digital Inc. | Durable Medical Equipment & Medical Supplies | 2055 L Street W, Suite 400, Washington, DC 20036 | 2019-08-16 |
| 1770054371 | Olivia Renee Searle | Physical Therapist | 1145 19th Street Nw Suite 413, Washington, DC 20036 | 2018-12-09 |
| 1366920050 | Savonna Clecia Robinson | Home Health Aide | Capital Home Health Care, 1820 Jefferson Street, Washington, DC 20036 | 2018-08-03 |
| 1619480829 | Meredith Harris | Physical Therapist | 1120 20th St Nw Ste 116, Washington, DC 20036 | 2017-11-09 |
| 1225540503 | Tsigereda Getachew Nigussie | Registered Nurse | 1707 L St Nw Suit 900, Washington, DC 20036 | 2017-10-26 |
| 1033629928 | Bolanle Christie Koyejo | Home Health Aide | 1820 Jefferson Place Nw, Washington, DC 20036 | 2017-10-05 |
| 1679082648 | Fethia Bekeri | Home Health Aide | 1820 Jefferson Pl, Nw, Washington, DC 20036 | 2017-09-21 |
| Find all providers in zip 20036 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417992702 | Healthplus Therapeutic Services Inc | Psychologist | 1710 Carolina Ave, Washington, NC 27889-3315 | 2006-06-19 |
| 1053925339 | Gwenna Blanden | Psychologist | 111 Michigan Ave Nw, Washington, DC 20010-2916 | 2020-09-03 |
| 1346854668 | Nikita Rodrigues | Psychologist | 111 Michigan Ave Nw, Washington, DC 20010-2916 | 2020-09-03 |
| 1972159978 | Catalina Perez | Psychologist | 1630 Euclid St Nw, Washington, DC 20009-5675 | 2019-08-15 |
| 1326605270 | Ashley Ramos | Psychologist | 111 Michigan Ave Nw, Washington, DC 20010-2916 | 2019-05-28 |
| 1518452291 | Bright Beginnings,inc | Psychologist | 128 M St Nw, Washington, DC 20001-1205 | 2018-06-26 |
| 1033620794 | Mariah Covington | Psychologist | 106 Irving St Nw, Washington, DC 20010-2927 | 2017-10-20 |
| 1134591225 | Hannah Meister | Psychologist | 5225 Wisconsin Ave Nw Ste 400, Washington, DC 20015-2055 | 2015-10-28 |
| 1255727434 | Kaushalendra Amatya | Psychologist | 111 Michigan Ave Nw, Washington, DC 20010-2916 | 2015-04-14 |
| 1467881235 | Ana Gardano | Psychologist | 1200 1st St Ne Fl 9, Washington, DC 20002-7953 | 2013-11-02 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20036 |
Please comment or provide details below to improve the information on THE MECCA 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.