Organization Active NPI

Coldstream Solutions, Inc.

  • Psychosomatic Medicine Physician
  • Washington, DC
National Provider Identifier
1053617670
Registry record updated Jan 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychosomatic Medicine PhysicianTaxonomy code 2084P0015X
Legal business name
COLDSTREAM SOLUTIONS, INC.
Practice address
4410 Massachusetts Ave NW
Suite 234
Washington, DC 20016-5561
Phone
(202) 553-7003
Fax
(202) 207-2803
NPI assigned
Jan 28, 2011
Last updated
Jan 28, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2011

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

Authorized official

Name
Dr. Joseph M Tarantolo, M.D
Title
Ceo
Phone
(202) 553-7003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychosomatic Medicine Physician 2084P0015X Primary

Addresses

Primary practice location

4410 Massachusetts Ave NW
Suite 234
Washington, DC 20016-5561

Mailing address

4410 Massachusetts Ave NW
Suite 234
Washington, DC 20016-5561
Phone (202) 553-7003

Other identifiers 1

IdentifierTypeStateIssuer
MD8087OtherDCLICENSE

National Provider Directory

National Provider Directory

Locations

4410 Massachusetts Ave NW
Washington, DC 20016
Phone (202) 553-7003

NPI Registry JSON

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

{
    "created_epoch": "1296172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296172800000",
    "number": "1053617670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4410 MASSACHUSETTS AVE NW",
            "address_2": "SUITE 234",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200165561",
            "telephone_number": "202-553-7003",
            "fax_number": "202-207-2803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4410 MASSACHUSETTS AVE NW",
            "address_2": "SUITE 234",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200165561",
            "telephone_number": "202-553-7003",
            "fax_number": "202-207-2803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLDSTREAM SOLUTIONS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-28",
        "last_updated": "2011-01-28",
        "status": "A",
        "authorized_official_last_name": "TARANTOLO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "202-553-7003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "2084P0015X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychosomatic Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "MD8087",
            "state": "DC"
        }
    ],
    "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 Jan 28, 2011; 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.