Active NPI
Georgetown Neuropsychology LLC
- Clinical Neuropsychologist
- Washington, DC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190516001849 | DC | Part B Supplier - Clinic/Group Practice | 2860735776 |
Receives reassigned benefits from 1 practitioner Practice locations: Washington, DC |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Clinical Neuropsychologist
- Washington, DC
- NPI 1043309305
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.