NPIMap

Organization Active NPI

Medical Faculty Associates

  • Psychologist
  • Washington, DC
National Provider Identifier
1114168341
Registry record updated Mar 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY1672 Issued in DC
Legal business name
MEDICAL FACULTY ASSOCIATES
Practice address
2150 Pennsylvania Ave NW
Suite 10-407
Washington, DC 20037-3201
Phone
(202) 741-3375
Fax
(202) 741-3396
NPI assigned
Mar 18, 2009
Last updated
Mar 18, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2009

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

Authorized official

Name
Miss Mark Tatelbaum
Title
Program Director
Phone
(202) 741-3375

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X PSY1672 DC Primary

Addresses

Primary practice location

2150 Pennsylvania Ave NW
Suite 10-407
Washington, DC 20037-3201

Mailing address

2150 Pennsylvania Ave NW
Suite 10-407
Washington, DC 20037-3201
Phone (202) 741-3375

National Provider Directory

National Provider Directory
Tax ID family
GW Medical Faculty Associates51 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 15

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 15

Locations

2150 Pennsylvania Ave NW
Ste 10407
Washington, DC 20037
Phone (202) 715-5153

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": "1237334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237334400000",
    "number": "1114168341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 PENNSYLVANIA AVE NW",
            "address_2": "SUITE 10-407",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200373201",
            "telephone_number": "202-741-3375",
            "fax_number": "202-741-3396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 PENNSYLVANIA AVE NW",
            "address_2": "SUITE 10-407",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200373201",
            "telephone_number": "202-741-3375",
            "fax_number": "202-741-3396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL FACULTY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-18",
        "last_updated": "2009-03-18",
        "status": "A",
        "authorized_official_last_name": "TATELBAUM",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "202-741-3375",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "DC",
            "license": "PSY1672",
            "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 Mar 18, 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.