NPIMap

Organization Active NPI

La Clinica del Pueblo, Inc

  • Adult Mental Health Clinic/Center
  • Washington, DC
National Provider Identifier
1043495450
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
LA CLINICA DEL PUEBLO, INC
Practice address
2831 15TH St NW
Washington, DC 20009-4607
Phone
(202) 462-4788
Fax
(202) 250-3290
NPI assigned
Jan 3, 2008
Organization subpart
Yes
Parent organization
LA CLINICA DEL PUEBLOAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 9, 2024

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

Authorized official

Name
Micaela Acuna
Title
Patient Revenue Manager
Phone
(240) 582-8828

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

2831 15TH St NW
Washington, DC 20009-4607

Mailing address

2831 15TH St NW
Washington, DC 20009-4607
Phone (202) 462-4788

Other identifiers 1

IdentifierTypeStateIssuer
037411700MedicaidDC

Other names 1

  • Alcohol/Substance Abuse Clinic Other name

National Provider Directory

National Provider Directory
Tax ID family
La Clinica del Pueblo5 organizations share this tax ID, including this one
Part of
La Clinica del Pueblo

Other organizations with this tax ID 4

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

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JJCEAA

NPI Registry JSON

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

{
    "created_epoch": "1199318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728432000000",
    "number": "1043495450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2831 15TH ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200094607",
            "telephone_number": "202-462-4788",
            "fax_number": "202-250-3290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2831 15TH ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200094607",
            "telephone_number": "202-462-4788",
            "fax_number": "202-250-3290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA CLINICA DEL PUEBLO, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LA CLINICA DEL PUEBLO",
        "enumeration_date": "2008-01-03",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A",
        "authorized_official_last_name": "ACUNA",
        "authorized_official_first_name": "MICAELA",
        "authorized_official_title_or_position": "PATIENT REVENUE MANAGER",
        "authorized_official_telephone_number": "240-582-8828"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "037411700",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alcohol/Substance Abuse Clinic",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Alcohol/Substance Abuse Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Oct 9, 2024; 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.