Active NPI
Christopher Marin
- Behavior Technician
- Washington, DC
National Provider Identifier
1124748041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- BACB747580
- Practice address
- 403 Seward SQ SE
Washington, DC 20003-6104 - Phone
- (443) 690-5857
- NPI assigned
- Aug 31, 2022
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | BACB747580 | VA | Primary |
Addresses
Primary practice location
403 Seward SQ SE
Washington, DC 20003-6104
Mailing address
403 Seward SQ SE
Washington, DC 20003-6104
Phone (443) 690-5857
Other practice location 1
600 Pennsylvania Ave SE Unit 15707
Washington, DC 20003-7529
Phone (443) 690-5857
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BACB747580 | VA | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pathways Behavioral Health | Behavior Technician | Past | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662076800000",
"number": "1124748041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "403 SEWARD SQ SE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200036104",
"telephone_number": "443-690-5857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "403 SEWARD SQ SE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200036104",
"telephone_number": "443-690-5857"
}
],
"practiceLocations": [
{
"address_1": "600 Pennsylvania Ave SE Unit 15707",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200037529",
"country_code": "US",
"telephone_number": "443-690-5857",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARIN",
"first_name": "CHRISTOPHER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-08-31",
"last_updated": "2022-09-02",
"certification_date": "2022-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "VA",
"license": "BACB747580",
"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 Sep 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.