NPIMap

Organization Active NPI

Department of Youth Rehabilitation Services

  • Prison Health Clinic/Center
  • Washington, DC
National Provider Identifier
1063643880
Registry record updated Jul 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prison Health Clinic/CenterTaxonomy code 261QP2400X
License
261QP2400X Issued in DC
Legal business name
DEPARTMENT OF YOUTH REHABILITATION SERVICES
Practice address
1000 Mount Olivet Rd NE
Washington, DC 20002-2210
Phone
(202) 576-8405
Fax
(202) 576-8457
NPI assigned
Jul 28, 2009
Last updated
Jul 28, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2009

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

Authorized official

Name
Dr. Andrea Weisman, PH.D.
Title
Chief of Health Services
Phone
(202) 576-8139

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prison Health Clinic/Center 261QP2400X 261QP2400X DC Primary

Addresses

Primary practice location

1000 Mount Olivet Rd NE
Washington, DC 20002-2210

Mailing address

1000 Mount Olivet Rd NE
Washington, DC 20002-2210
Phone (202) 576-8405

National Provider Directory

National Provider Directory
Tax ID family
Goverment of the DC Office29 organizations share this tax ID, including this one

Other organizations with this tax ID 28

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

View all 28

Locations

1000 Mount Olivet Rd NE
Washington, DC 20002
Phone (202) 440-2925

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1248739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248739200000",
    "number": "1063643880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 MOUNT OLIVET RD NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200022210",
            "telephone_number": "202-576-8405",
            "fax_number": "202-576-8457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 MOUNT OLIVET RD NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200022210",
            "telephone_number": "202-576-8405",
            "fax_number": "202-576-8457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPARTMENT OF YOUTH REHABILITATION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-28",
        "last_updated": "2009-07-28",
        "status": "A",
        "authorized_official_last_name": "WEISMAN",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "CHIEF OF HEALTH SERVICES",
        "authorized_official_telephone_number": "202-576-8139",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QP2400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Prison Health",
            "state": "DC",
            "license": "261QP2400X",
            "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 Jul 28, 2009; 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.