John P Dennis, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY1000747 Issued in DC

Practice address

1729 21St St NW
Washington, DC 20009-1101

Phone

(215) 806-6442

NPI assigned

Apr 21, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 1, 2019 through Jan 1, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Maryland Center for Evidence Based Therapy LLC

  • Clinical Psychologist
  • Chevy Chase, MD
  • NPI 1982490454
  NPD Authorized official

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

{
    "created_epoch": "1303344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552348800000",
    "number": "1033400247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14317 SHOREHAM DR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209054481",
            "telephone_number": "215-806-6442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1729 21ST ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200091101",
            "telephone_number": "215-806-6442"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Walter Reed Army Medical Center 6900 Georgia Ave NW",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "203070001",
            "country_code": "US",
            "telephone_number": "202-782-6063",
            "fax_number": "202-782-5007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DENNIS",
        "first_name": "JOHN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-21",
        "last_updated": "2019-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "DC",
            "license": "PSY1000747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Dennis-Johnson, NURSE/LPN
• Chad Winston Dennis
• Erin Ashley Dennis, DPT
• Gregory Dennis
• Janelle Kerice Clarke Dennis, M.D.
• Kathryn Ann Dennis
• Kyle Cameron Dennis, PH.D.
• Nashell Dennis
• Peter Dennis
• Katherine Michelle Dennison, MPH RD LD

• Clinical Psychologist in Washington, DC
• Providers in Washington, DC by specialty
• Clinical Psychologist in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.