Individual provider Active NPI

Shareefah Naimah Al'Uqdah, PHD

  • Psychologist
  • Washington, DC
National Provider Identifier
1053621680
Registry record updated Jun 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
2007 Vermont Ave NW
Washington, DC 20001-4029
Phone
(202) 643-8012
NPI assigned
Oct 17, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2020

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Psychologist 103TA0400X
Clinical Psychologist 103TC0700X PSY1000748 DC
Clinical Psychologist 103TC0700X 04847 MD
Counseling Psychologist 103TC1900X
Family Psychologist 103TF0000X
Forensic Psychologist 103TF0200X
Group Psychotherapy Psychologist 103TP2701X
School Psychologist 103TS0200X
Psychologist 103T00000X Primary

Addresses

Primary practice location

2007 Vermont Ave NW
Washington, DC 20001-4029

Mailing address

2007 Vermont Ave NW
Washington, DC 20001-4029
Phone (202) 643-8012

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY1000748DCMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Your Neighborhood Clinic Psychologist Current Accepting new patients
Your Neighborhood Clinic Psychologist Current Accepting new patients

Locations

2007 Vermont Ave NW
Washington, DC 20001
Phone (202) 599-9999

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1287273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592956800000",
    "number": "1053621680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2007 VERMONT AVE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200014029",
            "telephone_number": "202-643-8012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2007 VERMONT AVE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200014029",
            "telephone_number": "202-643-8012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL'UQDAH",
        "first_name": "SHAREEFAH",
        "middle_name": "NAIMAH",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-17",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "DC",
            "license": "PSY1000748",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "04847",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "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 Jun 24, 2020; 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.