ROBERT W MICKEY


Address: 2041 Georgia Ave Nw, Washington, DC 20060-0001
Phone: 2028656611

ROBERT W MICKEY (NPI# 1508974239) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1508974239
Entity Type Individual
Full Name ROBERT W MICKEY
Credential MD
Practice Address 2041 Georgia Ave Nw
Washington
DC 20060-0001
Mailing Address 2041 Georgia Ave Nw
Ste 4308
Washington
DC 20060-0001
Practice Telephone 2028656611
Practice Fax Number 2028656212
Mailing Telephone 2028653415
Mailing Fax Number 2028656876
Enumeration Date 2006-08-25
Last Update Date 2017-01-24
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084P0802X Psychiatry & Neurology
Specialization: Addiction Psychiatry 		MD13015 DC Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
VA 07119143 05
DC 029900600 05
MD 091551300 05

Office Location

Street Address 2041 GEORGIA AVE NW
City WASHINGTON
State DC
Zip Code 20060-0001

Providers in the same location

NPI Name Taxonomy Address Enumeration
1962408252 Wayne Ai Frederick Surgery 2041 Georgia Ave Nw, Ste 4000, Washington, DC 20060-0001 2005-06-22
1154936516 Carine Noubeg Motto Registered Nurse 2041 Georgia Ave Nw, Washington, DC 20060-2112 2020-09-12
1083237499 Ammara Mahmood Student in an Organized Health Care Education/Training Program 2041 Georgia Ave Nw, Washington, DC 20060-0001 2020-05-20
1194346361 Camila Ayanna Leah Haynes Student in an Organized Health Care Education/Training Program 2041 Georgia Ave Nw, Washington, DC 20060 2020-04-29
1366062614 Sidney Amankwah Student in an Organized Health Care Education/Training Program 2041 Georgia Ave Nw, Washington, DC 20060-0002 2020-04-16
1972122661 Marriam Nasserjah Student in an Organized Health Care Education/Training Program 2041 Georgia Ave Nw, Washington, DC 20060-0001 2020-04-13
1598384307 Hundaol Shamsan Yadeta Student in an Organized Health Care Education/Training Program 2041 Georgia Ave Nw, Washington, DC 20060-0002 2020-04-11
1831728161 Oyindamola Oluseye Dentist 2041 Georgia Ave Nw, Washington, DC 20060-0002 2020-04-08
1679192850 Rebecca Bibum Student in an Organized Health Care Education/Training Program 2041 Georgia Ave Nw, Washington, DC 20060-0001 2020-04-08
1528697844 Hiwot Abebaw Hunegnaw Student in an Organized Health Care Education/Training Program 2041 Georgia Ave Nw, Washington, DC 20060-0001 2020-04-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1629690631 Idil Ibrahim Student in an Organized Health Care Education/Training Program 2041 Georgia Avenue Washington, Nw, Washington, DC 20060 2020-05-13
1740801570 Felix Wadja Wireko Student in an Organized Health Care Education/Training Program 2041 Georgia Avenue, Nw Howard University Hospital, Washington, DC 20060 2020-05-04
1326669235 Priscilla Agyemang Ababio Student in an Organized Health Care Education/Training Program 2041 Georgia Avenue, Nw, Howard University Hospital, Washington, DC 20060 2020-05-01
1932738226 Ahmed Brgdar Student in an Organized Health Care Education/Training Program Howard University Hospital 2041 Georgia Avenue, Nw., Washington, DC 20060 2020-04-07
1427614437 Shai Ian Bernard Stewart Student in an Organized Health Care Education/Training Program Howard University Hospital - Surgery Program Office, 2041 Georgia Avenue, Washinton, DC 20060 2019-05-15
1588127039 Kamilah Anika Tricia Fernandez Student in an Organized Health Care Education/Training Program Howard University Hospital 2041 Georgia Avenue, Nw, Washington Dc, WA 20060 2019-04-11
1740741024 Arjun Dev Saini Student in an Organized Health Care Education/Training Program 2041 Georgia Ave Nw # 2107, Washington, DC 20060 2019-03-28
1427547710 Lorenzo Elliot Leys Student in an Organized Health Care Education/Training Program Howard University Hospital Internal Medicine, 2041 Georgia Avenue, Washington, DC 20060 2018-05-02
1851889877 Fareed Rajack Student in an Organized Health Care Education/Training Program 2041 Georgina Avenue N.w., Howard University Hospital, Washington, DC 20060 2018-04-25
1801393855 Rodney Christian Guiseppi Student in an Organized Health Care Education/Training Program 2401 Georgia Avenue, Nw (howard University Hospital), Washington, DC 20060 2018-04-06
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Taxonomy Information

Taxonomy Code 2084P0802X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Addiction Psychiatry

Taxonomy Definition

Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1558509554 Sally Satel Psychiatry & Neurology 910 Bladensburg Rd Ne, Washington, DC 20002-3930 2009-01-28
1114308384 Paradigm Integrative Health, LLC Psychiatry & Neurology 650 Pennsylvania Ave Se, Suite 470, Washington, DC 20003-4318 2015-06-14
1760670178 Richard S. Schottenfeld Psychiatry & Neurology 2041 Georgia Ave Nw Huh 5b02, Washington, DC 20060-1109 2007-10-10
1982894481 John Syphax Psychiatry & Neurology 1330 New Hampshire Ave Nw, Suite B4, Washington, DC 20036-6350 2007-07-31
1750499406 William B Lawson Psychiatry & Neurology 2041 Georgia Ave Nw, Washington, DC 20060-0001 2006-08-25

Competitor

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City WASHINGTON
Zip Code 20060

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Dataset Information

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.

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