WISCONSIN AVE PSYCHIATRIC CENTER INC (NPI# 1871549949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871549949 |
| 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 |
| Mailing Telephone | 2028855600 |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2020-06-04 |
| Authorized Official Name | STEVE FILTON (VICE PRESIDENT) |
| Authorized Official Telephone | 6107683482 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 283Q00000X | Psychiatric Hospital | HFD01-0011 | DC | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 074500600 | 05 | |
| DC | 026392500 | 05 | |
| MD | 208290000 | 05 | |
| DC | 026402100 | 05 |
| Other Name | Type Code |
|---|---|
| Psychiatric Institute of Washington | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801279393 | Wisconsin Ave Psychiatric Center Inc | Counselor | 4228 Wisconsin Ave Nw, Washington, DC 20016-2138 | 2015-07-02 |
| Street Address |
4228 WISCONSIN AVE NW |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20016-2138 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1801279393 | Wisconsin Ave Psychiatric Center Inc | Counselor | 4228 Wisconsin Ave Nw, Washington, DC 20016-2138 | 2015-07-02 |
| 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 | 283Q00000X |
| Grouping | Hospitals |
| Classification | Psychiatric Hospital |
| An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |
| Notes: Source: Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518165760 | Department of Behavioral Health - St Elizabeths Hospital | Psychiatric Hospital | 1100 Alabama Avenue Se, Washington, DC 20032-4540 | 2007-07-10 |
| 1346395860 | Whc Outpatient Behavioral Health | Psychiatric Hospital | 216 Michigan Ave Ne, Trinity Square Second Floor, Washington, DC 20017-1095 | 2007-01-24 |
| 1861432676 | Riverside Treatment Services,inc | Psychiatric Hospital | 4460 Macarthur Blvd Nw, Washington, DC 20007-2516 | 2006-06-08 |
| 1497129191 | Dbh- Saint Elizabeths Hospital | Psychiatric Hospital | 1100 Alabama Ave Se, Saint Elizabeths Hospital-dbh Room # 238.01, Washington, DC 20032 | 2015-11-18 |
| 1104242759 | Jacqueline Farmer | Psychiatric Hospital | 1100 Alabama Ave Se, Washington, DC 20032-4540 | 2014-03-06 |
| 1538405675 | Department of Mental Health - Saint Elizabeths Hospital | Psychiatric Hospital | 1100 Alabama Ave Se, Cashiers Office, Washington, DC 20032-4540 | 2012-12-18 |
| 1558616516 | Children's National Hospital | Psychiatric Hospital | 111 Michigan Ave Nw, Washington, DC 20010-2916 | 2012-07-16 |
| 1003176371 | Wisconsin Ave Psychiatric Center, Inc | Psychiatric Hospital | 4228 Wisconsin Ave Nw, Washington, DC 20016-2138 | 2012-05-21 |
| 1134446826 | Wisconsin Avenue Psychiatric Center | Psychiatric Hospital | 4228 Wisconsin Ave Nw, Washington, DC 20016-2138 | 2010-04-21 |
| 1639308497 | Huh | Psychiatric Hospital | 2041 Georgia Ave Nw, Washington, DC 20060-0001 | 2009-07-14 |
| 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.