WISCONSIN AVE PSYCHIATRIC CENTER INC (NPI# 1801279393) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801279393 |
| Entity Type | Organization |
| Organization Name | WISCONSIN AVE PSYCHIATRIC CENTER INC |
| Other Organization Name | PSYCHIATRIC INSTITUTE OF WASHINGTON |
| Practice Address |
4228 Wisconsin Ave Nw Washington DC 20016-2138 |
| Practice Telephone | 2028855600 |
| Practice Fax Number | 2028855842 |
| Mailing Telephone | 2028855600 |
| Mailing Fax Number | 2028855842 |
| Enumeration Date | 2015-07-02 |
| Last Update Date | 2015-07-02 |
| Authorized Official Name | MR. CHARLES J BAUMGARDNER (CEO) |
| Authorized Official Telephone | 2028855600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
HFD01-0011 | DC | Behavioral Health & Social Service Providers |
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 208290000 | 05 | |
| MEDICARE | 569223 | 01 | |
| DC | 026402100 | 05 | |
| DC | 026392500 | 05 | |
| MD | 448740100 | 05 | |
| MD | 074500600 | 05 |
| Other Name | Type Code |
|---|---|
| Psychiatric Institute of Washington | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871549949 | Wisconsin Ave Psychiatric Center Inc | Psychiatry & Neurology | 4228 Wisconsin Ave Nw, Washington, DC 20016-2138 | 2006-05-26 |
| Street Address |
4228 WISCONSIN AVE NW |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20016-2138 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871549949 | Wisconsin Ave Psychiatric Center Inc | Psychiatry & Neurology | 4228 Wisconsin Ave Nw, Washington, DC 20016-2138 | 2006-05-26 |
| 1679187793 | Germain Ndjomo Angu | Nurse Practitioner | 4228 Wisconsin Ave Nw, Washington, DC 20016-2138 | 2020-09-04 |
| 1174144034 | Obinna Prince Okafor | Registered Nurse | 4228 Wisconsin Ave Nw, Washington, DC 20016-2138 | 2020-05-01 |
| 1144781196 | Gaelle Matingeh Nyasa | Nurse Practitioner | 4228 Wisconsin Ave Nw, Washington, DC 20016-2138 | 2019-03-30 |
| 1487151742 | Kelly E Reddix | Counselor | 4228 Wisconsin Ave Nw, Washington, DC 20016-2138 | 2018-04-12 |
| 1790150258 | Lartoniah Hassan | Nurse Practitioner | 4228 Wisconsin Ave Nw, Washington, DC 20016-2138 | 2015-12-09 |
| 1841687506 | Umair Daimee | Psychiatry & Neurology | 4228 Wisconsin Ave Nw, Washington, DC 20016-2138 | 2015-04-21 |
| 1346645421 | Andrea Finch | Counselor | 4228 Wisconsin Ave Nw, Washington, DC 20016-2138 | 2014-10-30 |
| 1154760387 | Wisconsin Avenue Psychiatric Center | Psychologist | 4228 Wisconsin Ave Nw, Washington, DC 20016-2138 | 2013-06-20 |
| 1427493121 | Barbara Perez | Social Worker | 4228 Wisconsin Ave Nw, Washington, DC 20016-2138 | 2013-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790390144 | Julie Marcus | Nurse Practitioner | 4200 Wisconsin Avenue Nw, 4th Floor, Washington, DC 20016 | 2020-09-12 |
| 1669080289 | Rachel Mary Lipman | Student in an Organized Health Care Education/Training Program | 5185 Macarthur Blvd, Washington, DC 20016 | 2020-07-20 |
| 1285253484 | Shawn Anthony Haupt | Student in an Organized Health Care Education/Training Program | 4200 Wisconsin Ave, 4th Floor, Dept of Pediatrics, Washington, DC 20016 | 2020-04-09 |
| 1457991176 | Joseph Stephen Driscoll | Specialist/Technologist | St. Albans School / Mount St, Alban, 3001 Wisconsin Ave, Washington, DC 20016 | 2020-01-10 |
| 1164063293 | Christine Ju | Dietitian, Registered | 3517 Ordway St Nw, Washington, DC 20016 | 2019-09-30 |
| 1376191072 | Carlitta Theresa Harris | Registered Nurse | 501 School Street Suite, Suite 200, Sw, DC 20016 | 2019-08-27 |
| 1295399384 | People's Lactation LLC | Registered Nurse | 3022 Wisconsin Ave Nw Apt 208, Washington, DC 20016 | 2019-04-24 |
| 1578057428 | Itzhak Brook | General Practice | 4431 Albemarle St. Nw, Washington, DC 20016 | 2018-06-14 |
| 1093211724 | Hannah Elise Sterling | Student in an Organized Health Care Education/Training Program | 4200 Wisconsin Ave Nw 4th Floor, Department of Pediatrics, Washington, DC 20016 | 2018-04-02 |
| 1447755616 | Michele Elizabeth Zaragoza | Student in an Organized Health Care Education/Training Program | 4200 Wisconsin Ave Nw, 4th Floor, Dept of Pediatrics, Washington, DC 20016 | 2018-03-28 |
| Find all providers in zip 20016 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659981884 | Liv Advantia Dc Pllc | Social Worker | 1443 U St Nw, Washington, DC 20009-3974 | 2020-08-03 |
| 1366060410 | Strong Therapy Empowerment Professional Services, Pllc | Social Worker | 2001 37th St Se Apt 102, Washington, DC 20020-1263 | 2020-07-06 |
| 1316566763 | Kevin Letsinger | Social Worker | 645 Pennsylvania Ave Se, Washington, DC 20003-4317 | 2020-04-15 |
| 1891327177 | Marketa Kopecka | Social Worker | 650 Pennsylvania Ave Se Ste 330, Washington, DC 20003-4397 | 2020-02-05 |
| 1336770437 | Hanan Serbaga | Social Worker | 909 Longfellow St Nw Apt 307, Washington, DC 20011-8246 | 2020-01-28 |
| 1023577434 | Dina Maalouf | Social Worker | 2000 P St Nw Ste 410, Washington, DC 20036-6922 | 2019-03-15 |
| 1003371683 | Omar Ka | Social Worker | 3700 9th St Se Apt 1125, Washington, DC 20032-4046 | 2019-02-07 |
| 1881164424 | Heather Yvonne Daniels | Social Worker | 650 I Street Ne, Washington, DC 20003 | 2018-11-27 |
| 1255800488 | Askale Woldeyohanis | Social Worker | 1301 Upshur St Nw Apt 511, Washington, DC 20011-5661 | 2018-11-16 |
| 1881178507 | Ericka Naeema Mahdi-ransford | Social Worker | 3759 Jay St Ne Apt 23759, Washington, DC 20019-1835 | 2018-09-19 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20016 |
Please comment or provide details below to improve the information on WISCONSIN AVE PSYCHIATRIC CENTER INC.
| 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.