Active NPI
Renee Michelle Neely-Walters, PSY.D.
- Psychologist
- Washington, DC
National Provider Identifier
1003388711
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 05151
- Practice address
- 5800 8TH St NW
Washington, DC 20011-1900 - Phone
- (202) 541-6608
- NPI assigned
- Dec 19, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 05151 | MD | Primary |
Addresses
Primary practice location
5800 8TH St NW
Washington, DC 20011-1900
Mailing address
6201 Cabot St
District Heights, MD 20747-1259
Phone (202) 607-8269
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05151 | MD | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545177600000",
"number": "1003388711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6201 CABOT ST",
"city": "DISTRICT HEIGHTS",
"state": "MD",
"postal_code": "207471259",
"telephone_number": "202-607-8269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5800 8TH ST NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200111900",
"telephone_number": "202-541-6608"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEELY-WALTERS",
"first_name": "RENEE",
"middle_name": "MICHELLE",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-19",
"last_updated": "2018-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MD",
"license": "05151",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.