Organization Active NPI

Washington Foundation for Family Life

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Washington, DC
National Provider Identifier
1043485717
Registry record updated Nov 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
WASHINGTON FOUNDATION FOR FAMILY LIFE
Practice address
1030 Kearney St NE
Washington, DC 20017-3518
Phone
(202) 529-9299
NPI assigned
Apr 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2024

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

Authorized official

Name
Dr. Synthia Johnson, LCNPI 1336270917
Title
Owner
Phone
(202) 529-9299

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1030 Kearney St NE
Washington, DC 20017-3518

Mailing address

1030 Kearney St NE
Washington, DC 20017-3518
Phone (202) 529-9299

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140714000345 DC Part B Supplier - Clinic/Group Practice 0042435786 Receives reassigned benefits from 1 practitioner
Practice locations: Washington, DC

National Provider Directory

National Provider Directory
Tax ID family
Washington Foundation for Family Life2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730592000000",
    "number": "1043485717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 KEARNEY ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200173518",
            "telephone_number": "202-529-9299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 KEARNEY ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200173518",
            "telephone_number": "202-529-9299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON FOUNDATION FOR FAMILY LIFE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-24",
        "last_updated": "2024-11-03",
        "certification_date": "2024-11-03",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "SYNTHIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-529-9299",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "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 Nov 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.