Active NPI
David Pellegrini, PH.D.
- Psychologist
- Washington, DC
National Provider Identifier
1124668975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY1169
- Practice address
- 1010 Wisconsin Ave NW Ste 505
Washington, DC 20007-3600 - Phone
- (202) 333-1665
- NPI assigned
- Jan 9, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY1169 | DC | Primary |
Addresses
Primary practice location
1010 Wisconsin Ave NW Ste 505
Washington, DC 20007-3600
Mailing address
1010 Wisconsin Ave NW Ste 505
Washington, DC 20007-3600
Phone (202) 333-1665
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
| License | State | Type | Specialty |
|---|---|---|---|
| PSY1169 | DC | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578528000000",
"number": "1124668975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 WISCONSIN AVE NW STE 505",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200073600",
"telephone_number": "202-333-1665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 WISCONSIN AVE NW STE 505",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200073600",
"telephone_number": "202-333-1665"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PELLEGRINI",
"first_name": "DAVID",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-01-09",
"last_updated": "2020-01-09",
"certification_date": "2020-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "DC",
"license": "PSY1169",
"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 Jan 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.