DR. MAKON FARDIS (NPI# 1760781512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760781512 |
| Entity Type | Individual |
| Full Name | DR. MAKON FARDIS |
| Credential | PHD |
| Practice Address |
2029 P St Nw Suite 302 Washington DC 20036-5948 |
| Mailing Address |
4743 Bradley Blvd # 302 Chevy Chase MD 20815-6303 |
| Practice Telephone | 2029069614 |
| Mailing Telephone | 4065315664 |
| Enumeration Date | 2011-03-18 |
| Last Update Date | 2011-03-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY 1000573 | DC | Behavioral Health & Social Service Providers |
| Street Address |
2029 P ST NW SUITE 302 |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20036-5948 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528264066 | Debra Joan Walther | Psychologist | 2029 P St Nw, 302, Washington, DC 20036-5948 | 2007-06-22 |
| 1306267067 | Therapeutic Links Behavioral Health Services, LLC | Social Worker | 2029 P St Nw, #202, Washington, DC 20036-5948 | 2013-12-26 |
| 1922344597 | Jermaine Boston | Counselor | 2029 P St Nw, Suite 202, Washington, DC 20036-5948 | 2012-12-29 |
| 1033475488 | Andrea Cooper | Counselor | 2029 P St Nw, Suite 202, Washington, DC 20036-5948 | 2012-04-10 |
| 1306160361 | Janette B Sperber | Specialist | 2029 P St Nw, Suite 302, Washington, DC 20036-5948 | 2010-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952900110 | Betsy Mencher, Ph.d. Pllc | Psychologist | 1350 Connecticut Ave Nw Ste 500, Washington, DC 20036-1736 | 2020-10-20 |
| 1083211130 | Malcolm Horace Woodland | Psychologist | 1815 N Capitol St Ne, Washington, DC 20002-1535 | 2020-10-01 |
| 1902416217 | Eric Todd Jones | Psychologist | 3220 15th St Ne, Washington, DC 20017-2936 | 2020-08-03 |
| 1811507148 | Michael Magenheimer | Psychologist | 4430 13th Pl Ne, Washington, DC 20017-2729 | 2020-08-02 |
| 1942827407 | Courtney Dinsmore | Psychologist | 6621 31st St Nw, Washington, DC 20015-2345 | 2020-07-01 |
| 1386265098 | John Loughlin-presnal | Psychologist | 37th and O Streets Nw One Darnall Hall, Washington, DC 20057-0001 | 2020-05-04 |
| 1457972242 | Holly Anne Weber | Psychologist | 4001 Harewood Rd Ne Rm 110, Washington, DC 20017-1508 | 2020-05-03 |
| 1609406248 | The Ludic Group | Psychologist | 1350 Connecticut Ave Nw Ste 307, Washington, DC 20036-1738 | 2020-01-23 |
| 1164060596 | Brigit Monica Van Widenfelt | Psychologist | 5208 41st St Nw, Washington, DC 20015-1902 | 2019-12-16 |
| 1205477700 | Kingston Psychological Services | Psychologist | 10 G St Ne Ste 600, Washington, DC 20002-4253 | 2019-10-05 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20036 |
Please comment or provide details below to improve the information on DR. MAKON FARDIS.
| 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.