Individual provider Active NPI

Mia Paustian

  • Clinical Psychologist
  • Washington, DC
National Provider Identifier
1013382928
Registry record updated Feb 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY1000907 Issued in DC
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.

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

LicenseStateTypeSpecialty
PSY1000907DCMDCognitive & Behavioral Psychologist

Practice roles

OrganizationSpecialtyStatusNew 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)CodeLicenseStatePrimary
Cognitive & Behavioral Psychologist 103TB0200X PSY1000907 DC
Group Psychotherapy Psychologist 103TP2701X PSY1000907 DC
Clinical Psychologist 103TC0700X PSY1000907 DC Primary

Addresses

NPPES NPI Registry

Primary 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.

Verify at the official NPI Registry.