Individual provider Active NPI

Davin Maijala, PSYD

  • Psychologist
  • Washington, DC
National Provider Identifier
1114332509
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY1001024 Issued in DC
Practice address
1350 Connecticut Ave NW Ste 612
Washington, DC 20036-1735
Phone
(202) 656-0258
NPI assigned
Jun 25, 2014
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY1001024 DC Primary
Clinical Psychologist 103TC0700X PSY1001024 DC
Counseling Psychologist 103TC1900X LP5580 MN

Addresses

Primary practice location

1350 Connecticut Ave NW Ste 612
Washington, DC 20036-1735

Mailing address

1350 Connecticut Ave NW Ste 612
Washington, DC 20036-1735
Phone (202) 656-0258

Other practice location 1

2029 P St NW
Suite 202
Washington, DC 20036-5948
Phone (202) 656-0258

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Previously, effective Aug 24, 2016 through Aug 24, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PSY1001024DCMDPsychologist
LP5580MNMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Kasvu Counseling, PLLC Psychologist CurrentSince Jul 24, 2022 Accepting new patients

Locations

1350 Connecticut Ave NW
Ste 612
Washington, DC 20036
Phone (202) 495-1581

2029 P St NW
Ste 202
Washington, DC 20036
Phone (202) 400-1677

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1403654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1114332509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 CONNECTICUT AVE NW STE 612",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200361735",
            "telephone_number": "202-656-0258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 CONNECTICUT AVE NW STE 612",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200361735",
            "telephone_number": "202-656-0258"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2029 P St NW",
            "address_2": "Suite 202",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200365948",
            "country_code": "US",
            "telephone_number": "202-656-0258",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAIJALA",
        "first_name": "DAVIN",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-25",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "DC",
            "license": "PSY1001024",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "DC",
            "license": "PSY1001024",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MN",
            "license": "LP5580",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.