NPIMap

Organization Active NPI

Psi Services III, Inc

  • Clinic/Center
  • Washington, DC
National Provider Identifier
1093929747
Registry record updated Aug 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
0020 Issued in DC
Legal business name
PSI SERVICES III, INC
Practice address
5820 Dix St NE
Washington, DC 20019-6965
Phone
(301) 552-7120
NPI assigned
May 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2020

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

Authorized official

Name
Shawn Rubbin
Title
Comms & It Director
Phone
(301) 552-7120

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 0020 DC Primary

Addresses

Primary practice location

5820 Dix St NE
Washington, DC 20019-6965

Mailing address

8301 Professional PL Ste 205
Hyattsville, MD 20785-2353
Phone (301) 552-7120

Other identifiers 1

IdentifierTypeStateIssuer
019113800MedicaidDC

National Provider Directory

National Provider Directory
Tax ID family
Psi Services III Inc12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597968000000",
    "number": "1093929747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8301 PROFESSIONAL PL STE 205",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207852353",
            "telephone_number": "301-552-7120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5820 DIX ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200196965",
            "telephone_number": "301-552-7120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSI SERVICES III, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2020-08-21",
        "certification_date": "2020-08-21",
        "status": "A",
        "authorized_official_last_name": "RUBBIN",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "COMMS & IT DIRECTOR",
        "authorized_official_telephone_number": "301-552-7120"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "DC",
            "license": "0020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019113800",
            "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 Aug 21, 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.