Organization Active NPI

Georgetown Neuropsychology LLC

  • Clinical Neuropsychologist
  • Washington, DC
National Provider Identifier
1124589288
Registry record updated Mar 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
Legal business name
GEORGETOWN NEUROPSYCHOLOGY LLC
Practice address
2233 Wisconsin Ave NW Ste 307
Washington, DC 20007-4104
Phone
(202) 342-2233
NPI assigned
Mar 29, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2019

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

Authorized official

Name
Dr. Victoria Noyes Starbuck, PH.D.NPI 1043309305
Title
Owner
Phone
(202) 343-2233

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103G00000X Primary

Addresses

Primary practice location

2233 Wisconsin Ave NW Ste 307
Washington, DC 20007-4104

Mailing address

2233 Wisconsin Ave NW Ste 307
Washington, DC 20007-4104
Phone (202) 342-2233

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190516001849 DC Part B Supplier - Clinic/Group Practice 2860735776 Receives reassigned benefits from 1 practitioner
Practice locations: Washington, DC

National Provider Directory

National Provider Directory

Locations

2233 Wisconsin Ave NW
Ste 412
Washington, DC 20007
Phone (202) 342-2233

2233 Wisconsin Ave NW
Ste 307
Washington, DC 20007
Phone (202) 342-2233

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1553817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553817600000",
    "number": "1124589288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2233 WISCONSIN AVE NW STE 307",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200074104",
            "telephone_number": "202-342-2233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2233 WISCONSIN AVE NW STE 307",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200074104",
            "telephone_number": "202-342-2233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGETOWN NEUROPSYCHOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-29",
        "last_updated": "2019-03-29",
        "status": "A",
        "authorized_official_last_name": "STARBUCK",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "NOYES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-343-2233",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "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 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.