Organization Active NPI

Sharat K. Jain, PH.D. Clinical Psychologist

  • Clinical Psychologist
  • Washington, DC
National Provider Identifier
1043664329
Registry record updated Apr 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY1000064 Issued in DC
Legal business name
SHARAT K. JAIN, PH.D. CLINICAL PSYCHOLOGIST
Practice address
3230 Pennsylvania Ave SE
Suite 213
Washington, DC 20020-3722
Phone
(301) 693-5513
Fax
(301) 765-3366
NPI assigned
Apr 22, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2016

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

Authorized official

Name
Sharat K. Jain, PH.D.
Title
Clinical Psychologist
Phone
(301) 693-5513

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PSY1000064 DC Primary

Addresses

Primary practice location

3230 Pennsylvania Ave SE
Suite 213
Washington, DC 20020-3722

Mailing address

10705 River Rd
Potomac, MD 20854-4113
Phone (301) 693-5513

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1461283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461283200000",
    "number": "1043664329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10705 RIVER RD",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208544113",
            "telephone_number": "301-693-5513",
            "fax_number": "301-765-3366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3230 PENNSYLVANIA AVE SE",
            "address_2": "SUITE 213",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200203722",
            "telephone_number": "301-693-5513",
            "fax_number": "301-765-3366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARAT K. JAIN, PH.D. CLINICAL PSYCHOLOGIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-22",
        "last_updated": "2016-04-22",
        "status": "A",
        "authorized_official_last_name": "JAIN",
        "authorized_official_first_name": "SHARAT",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "301-693-5513",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "DC",
            "license": "PSY1000064",
            "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 Apr 22, 2016; 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.