DYMENTUM HEALTH, LLC (NPI# 1891237301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891237301 |
| Entity Type | Organization |
| Organization Name | DYMENTUM HEALTH, LLC |
| Other Organization Name | TCMP |
| Practice Address |
1615 Rhode Island Ave Ne Washington DC 20018-1802 |
| Mailing Address |
8200 Greensboro Dr Suite 900 Mc Lean VA 22102-3892 |
| Practice Telephone | 7032171560 |
| Mailing Telephone | 7034625456 |
| Enumeration Date | 2016-11-15 |
| Last Update Date | 2017-05-02 |
| Authorized Official Name | MR. HARDLEY A COOMBS (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 7032171560 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| TCMP | Former Legal Business Name - Organization |
| Street Address |
1615 RHODE ISLAND AVE NE |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20018-1802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053525824 | Community Integrated Care Management | Case Manager/Care Coordinator | 1615 Rhode Island Ave Ne, Washington, DC 20018-1802 | 2007-05-10 |
| 1518574946 | Brentrell Marie Spencer | Social Worker | 1615 Rhode Island Ave Ne, Washington, DC 20018-1802 | 2020-09-29 |
| 1962028548 | Adeline Benovil | Social Worker | 1615 Rhode Island Ave Ne, Washington, DC 20018-1802 | 2020-06-19 |
| 1447716733 | Nya Health Services Inc | Clinic/Center | 1615 Rhode Island Ave Ne, Washington, DC 20018-1802 | 2019-02-12 |
| 1528582095 | Ashley Holmes | Social Worker | 1615 Rhode Island Ave Ne, Washington, DC 20018-1802 | 2017-07-26 |
| 1073971669 | Christina Phillips | Nurse Practitioner | 1615 Rhode Island Ave Ne, 1st Floor, Washington, DC 20018-1802 | 2016-02-10 |
| 1538581483 | Trinity Wellness Clinic LLC | Clinic/Center | 1615 Rhode Island Ave Ne, Washington, DC 20018-1802 | 2014-01-13 |
| 1457504128 | Obiora M. Ogbuawa, Mdpc | Specialist | 1615 Rhode Island Ave Ne, Washington, DC 20018-1802 | 2008-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104438712 | Veronica Anita Rose | Technician | 3005 Bladensburg Rd Ne Apt 306, Washington, DC 20018 | 2020-08-17 |
| 1851910293 | Justina Christina Okougbo | Nurse Practitioner | 1242 12th St Ne Washington D.c., Washington, DC 20018 | 2020-04-15 |
| 1821629304 | Claire Cinque | Physical Therapy Assistant | 2601 18th Street Nw, Washington, DC 20018 | 2020-02-03 |
| 1669025474 | Chase Associates, LLC | Community/Behavioral Health | 2300 Washington Pl. Ne, Suite 423, Washington, DC 20018 | 2019-07-20 |
| 1407328446 | Howard Mabry | Psychologist | 2218 Rhode Island Avenue, Washington, DC 20018 | 2018-12-31 |
| 1760968697 | Velma Enjie Tebo | Home Health Aide | 1511 Franklin St Ne Apt 510, Washington, DC 20018 | 2018-07-13 |
| 1346744141 | Jacques Vanel Siewe Mbouwe | Home Health Aide | 3508 Commodore Joshua Barney Drive N.e, Apt #t3, Washington, DC 20018 | 2018-03-19 |
| 1376050658 | Marlena Hunt | Technician | 2504 10th St. Ne, Apt 404, Washington, DC 20018 | 2018-01-08 |
| 1245745926 | Mirabel Timben Mbah | Home Health Aide | 2010 Rhode Island Ave, 2nd Floor, North East, DC 20018 | 2017-12-04 |
| 1356855332 | St Judes Dental Clinic | Dentist | 2802 Rhode Island Ave Ne # 1, Washington, DC 20018 | 2017-11-28 |
| Find all providers in zip 20018 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558969741 | Centerville Clinics Inc | Community/Behavioral Health | Centerville Clinics-intensive Behavioral Health Service, 37 Highland Avenue, Washington, PA 15301-4062 | 2020-10-12 |
| 1619588522 | Royal Healthcare LLC | Community/Behavioral Health | 3502 18th St Ne # 2, Washington, DC 20018-2738 | 2020-08-13 |
| 1669098802 | Kairos Behavioral Healthcare | Community/Behavioral Health | 3106 Pennsylvania Ave Se, Washington, DC 20020-3710 | 2020-06-23 |
| 1255956603 | Lynz Consulting LLC | Community/Behavioral Health | 2310 Ashmead Pl Nw Apt 307, Washington, DC 20009-1432 | 2020-06-11 |
| 1801423314 | Wise Human Services | Community/Behavioral Health | 126 Belvidere Ave, Washington, NJ 07882-1417 | 2020-03-25 |
| 1417583360 | Professional Counseling Connections | Community/Behavioral Health | 3021 Highway A Ste 104, Washington, MO 63090-5498 | 2020-03-22 |
| 1891326104 | For Us Therapeutics Counseling & Consulting Services, LLC | Community/Behavioral Health | 1425 Hst, Ne, Washington, DC 20002 | 2020-01-27 |
| 1033757232 | District of Columbia Recovery Community Alliance Inc | Community/Behavioral Health | 5656a 3rd St Ne, Washington, DC 20011-2532 | 2019-12-18 |
| 1043851868 | J. Francis Black LLC | Community/Behavioral Health | 3000 Connecticut Ave Nw Ste 137, Washington, DC 20008-2549 | 2019-10-02 |
| 1689222804 | Samantha Morrell LLC | Community/Behavioral Health | 1724 20th St Nw Ste 202, Washington, DC 20009-1355 | 2019-08-30 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20018 |
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| 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.