Individual provider Active NPI

Raia Stefanova Margo, PH.D.

  • Psychologist
  • Washington, DC
National Provider Identifier
1114299062
Registry record updated Sep 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1000627 Issued in DC
Practice address
1701 K St NW
Suite 1125
Washington, DC 20006-1503
Phone
(805) 637-7832
NPI assigned
Feb 7, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 1000627 DC Primary
Psychologist 103T00000X 019300 NY

Addresses

Primary practice location

1701 K St NW
Suite 1125
Washington, DC 20006-1503

Mailing address

3120 Dumbarton St NW
Washington, DC 20007-3308
Phone (805) 637-7832

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)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1000627DCMDPsychologist
019300NYMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1328572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473120000000",
    "number": "1114299062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3120 DUMBARTON ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200073308",
            "telephone_number": "805-637-7832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 K ST NW",
            "address_2": "SUITE 1125",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200061503",
            "telephone_number": "805-637-7832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARGO",
        "first_name": "RAIA",
        "middle_name": "STEFANOVA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-07",
        "last_updated": "2016-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "DC",
            "license": "1000627",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "019300",
            "primary": false
        }
    ],
    "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 Sep 6, 2016; 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.