Active NPI
Mia Paustian
- Clinical Psychologist
- Washington, DC
National Provider Identifier
1013382928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY1000907
- Practice address
- 2168 Wisconsin Ave NW
Washington, DC 20007-2280 - Phone
- (202) 867-6918
- NPI assigned
- Dec 2, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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.
-
- Clinical Psychologist
- Washington, DC
- NPI 1043840085
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 |
|---|---|---|---|
| PSY1000907 | DC | MD | Cognitive & Behavioral Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DC Anxiety and Ocd Center LLC | Cognitive & Behavioral | Current | Accepting new patients |
Locations
2168 Wisconsin Ave NW
Washington, DC 20007
Phone (202) 642-2682
Specialties & licenses 3
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | PSY1000907 | DC | |
| Group Psychotherapy Psychologist | 103TP2701X | PSY1000907 | DC | |
| Clinical Psychologist | 103TC0700X | PSY1000907 | DC | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
2168 Wisconsin Ave NW
Washington, DC 20007-2280
Mailing address
2168 Wisconsin Ave NW
Washington, DC 20007-2280
Phone (202) 867-6918
Other practice location 1
1050 17th St NW Ste 1000
Washington, DC 20036-5512
Phone (202) 867-6918
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 3, 2021.
{
"created_epoch": "1449014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612310400000",
"number": "1013382928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2168 WISCONSIN AVE NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200072280",
"telephone_number": "202-867-6918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2168 WISCONSIN AVE NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200072280",
"telephone_number": "202-867-6918"
}
],
"practiceLocations": [
{
"address_1": "1050 17th St NW Ste 1000",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200365512",
"country_code": "US",
"telephone_number": "202-867-6918",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PAUSTIAN",
"first_name": "MIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-12-02",
"last_updated": "2021-02-03",
"certification_date": "2021-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "DC",
"license": "PSY1000907",
"primary": false
},
{
"code": "103TP2701X",
"taxonomy_group": "",
"desc": "Psychologist, Group Psychotherapy",
"state": "DC",
"license": "PSY1000907",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "DC",
"license": "PSY1000907",
"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 Feb 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.