Individual provider Active NPI

Jason Douglas Wemmers, PSY.D.

  • Clinical Psychologist
  • Washington, DC
National Provider Identifier
1013356708
Registry record updated Jun 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
05312 Issued in MD
Practice address
5225 Wisconsin Ave, NW, Suite 400
Washington, DC 20015
Phone
(202) 363-1010
Fax
(202) 363-2383
NPI assigned
Jun 17, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 05312 MD Primary

Addresses

Primary practice location

5225 Wisconsin Ave, NW, Suite 400
Washington, DC 20015

Mailing address

5225 Wisconsin Ave, NW, Suite 400
Washington, DC 20015
Phone (202) 363-1010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Oct 29, 2013 through Oct 29, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
05312MDMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Ross Center for Anxiety & Related Disorders, LLC Past Accepting new patients
The Ross Center for Anxiety & Related Disorders Inc Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1371427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371427200000",
    "number": "1013356708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5225 WISCONSIN AVE, NW, SUITE 400",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20015",
            "telephone_number": "202-363-1010",
            "fax_number": "202-363-2383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5225 WISCONSIN AVE, NW, SUITE 400",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20015",
            "telephone_number": "202-363-1010",
            "fax_number": "202-363-2383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEMMERS",
        "first_name": "JASON",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-17",
        "last_updated": "2013-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "05312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.