Organization Active NPI

Georgetown Psychology, P.C.

  • Clinical Psychologist
  • Washington, DC
National Provider Identifier
1023376407
Registry record updated Feb 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1940 Issued in DC
Legal business name
GEORGETOWN PSYCHOLOGY, P.C.
Practice address
1054 31St St NW Ste 312
Washington, DC 20007-6042
Phone
(202) 333-6251
Fax
(202) 333-6255
NPI assigned
Apr 24, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2020

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

Authorized official

Name
Maria ZimmittiNPI 1235593849
Title
President
Phone
(202) 333-6251

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 1940 DC Primary

Addresses

Primary practice location

1054 31St St NW Ste 312
Washington, DC 20007-6042

Mailing address

8120 Woodmont Ave Ste 660
Bethesda, MD 20814-2743
Phone (301) 652-5550

Other practice location 1

8120 Woodmont Ave Ste 660
Bethesda, MD 20814-2743
Phone (301) 652-5550

Other practice location 2

1355 Beverly Rd Ste 320
Mc Lean, VA 22101-3648
Phone (703) 556-6655

Other identifiers 11

IdentifierTypeStateIssuer
PSY1001390OtherDCSTATE LICENSE
0904009819OtherVASTATE LICENSE
PSY1001328OtherDCSTATE LICENSE
PSY1000990OtherDCSTATE LICENSE
PSY1001244OtherDCSTATE LICENSE
0810005759OtherVASTATE LICENSE
PSY1000895OtherSTATE LICENSE
LC5008240OtherDCSTATE LICENSE
07177OtherMDSTATE LICENSE
05734OtherMDSTATE LICENSE
PSY1940OtherDCSTATE LICENSE

National Provider Directory

National Provider Directory

Locations

1321 Wisconsin Ave NW
Washington, DC 20007
Phone (202) 333-6251

1054 31st St NW
Ste 312
Washington, DC 20007
Phone (202) 233-6251

8120 Woodmont Ave
Ste 660
Bethesda, MD 20814
Phone (301) 652-5550

1355 Beverly Rd
Ste 320
Mc Lean, VA 22101
Phone (703) 556-6655

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1335225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580688000000",
    "number": "1023376407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8120 WOODMONT AVE STE 660",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208142743",
            "telephone_number": "301-652-5550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1054 31ST ST NW STE 312",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200076042",
            "telephone_number": "202-333-6251",
            "fax_number": "202-333-6255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8120 Woodmont Ave Ste 660",
            "address_purpose": "LOCATION",
            "city": "Bethesda",
            "state": "MD",
            "postal_code": "208142743",
            "country_code": "US",
            "telephone_number": "301-652-5550",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1355 Beverly Rd Ste 320",
            "address_purpose": "LOCATION",
            "city": "Mc Lean",
            "state": "VA",
            "postal_code": "221013648",
            "country_code": "US",
            "telephone_number": "703-556-6655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GEORGETOWN PSYCHOLOGY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-24",
        "last_updated": "2020-02-03",
        "certification_date": "2020-02-03",
        "status": "A",
        "authorized_official_last_name": "ZIMMITTI",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "202-333-6251"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "DC",
            "license": "1940",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "PSY1001390",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "0904009819",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "PSY1001328",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "PSY1000990",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "PSY1001244",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "0810005759",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "PSY1000895",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "LC5008240",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "07177",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "05734",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "PSY1940",
            "state": "DC"
        }
    ],
    "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, 2020; 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.