Active NPI
Human Performance LLC
- Psychologist
- Silver Spring, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 1926
- Legal business name
- HUMAN PERFORMANCE LLC
- Practice address
- 2906 Aquarius Ave
Silver Spring, MD 20906-1813 - Phone
- (240) 277-4427
- NPI assigned
- Sep 27, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Donna Toby Kimmel, PHD
- Title
- President
- Phone
- (240) 277-4427
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 1926 | DC | Primary |
| Physical Therapist | 225100000X | 862 | DC | |
| Physical Therapist | 225100000X | 15251 | MD |
Addresses
Primary practice location
2906 Aquarius Ave
Silver Spring, MD 20906-1813
Mailing address
2906 Aquarius Ave
Silver Spring, MD 20906-1813
Phone (240) 277-4427
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
4545 42nd St NW
Ste 212
Washington, DC 20016
Phone (202) 244-4855
4000 Albemarle St NW
Washington, DC 20016
Phone (202) 841-1498
5312 Connecticut Ave NW
Washington, DC 20015
Phone (240) 277-4427
6286 Montrose Rd
Rockville, MD 20852
Phone (240) 242-4133
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": "1190851200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1190851200000",
"number": "1053508671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2906 AQUARIUS AVE",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209061813",
"telephone_number": "240-277-4427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2906 AQUARIUS AVE",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209061813",
"telephone_number": "240-277-4427"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HUMAN PERFORMANCE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-27",
"last_updated": "2007-09-27",
"status": "A",
"authorized_official_last_name": "KIMMEL",
"authorized_official_first_name": "DONNA",
"authorized_official_middle_name": "TOBY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "240-277-4427",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist",
"state": "DC",
"license": "1926",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "DC",
"license": "862",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "MD",
"license": "15251",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2007; 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.