Pediatric AIDS HIV Care

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

PEDIATRIC AIDS HIV CARE

Practice address

450 M St NW
Washington, DC 20001-4606

Phone

(202) 347-5366

Fax

(202) 628-3021

NPI assigned

Feb 26, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Khadijah A Tribble

Title

Executive Director

Phone

(202) 347-5366

Specialties & licenses 6

Addresses

Other names 1

• The Wright House Other name

Tax ID family

Pediatric AIDS HIV Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Pediatric AIDS HIV Care Inc

  • Clinical Social Worker
  • Washington, DC
  • NPI 1720285414
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cindy Mijung Kim, M.S., L.I.C.S.W.

  • Clinical Social Worker
  • Washington, DC
  • NPI 1952475543
  NPD (past)

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

{
    "created_epoch": "1203984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203984000000",
    "number": "1104095991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 M ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200014606",
            "telephone_number": "202-347-5366",
            "fax_number": "202-628-3021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 M ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200014606",
            "telephone_number": "202-347-5366",
            "fax_number": "202-628-3021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC AIDS HIV CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-26",
        "last_updated": "2008-02-26",
        "status": "A",
        "authorized_official_last_name": "TRIBBLE",
        "authorized_official_first_name": "KHADIJAH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "202-347-5366",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "102X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Poetry Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Wright House",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• John Peck
• Robin Wynne Peck, MD
• Torri Peck, MD
• Vincent Alexander Pecora, BA
• Megan Marie Pedersen
• Pediatric AIDS HIV Care Inc
• Pediatric Professionals, PC
• Yves Pedji
• Leah Pedoeim
• Katherine Elizabeth Pedrick, LGPC

• Mental Health Counselor in Washington, DC
• Providers in Washington, DC by specialty
• Mental Health Counselor in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2008; 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.