NPIMap

Organization Active NPI

P&G Behavioral Health Services LLC

  • Adult Mental Health Clinic/Center
  • Washington, DC
National Provider Identifier
1154894152
Registry record updated Jan 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
P&G BEHAVIORAL HEALTH SERVICES LLC
Practice address
2218 Rhode Island Ave NE
Washington, DC 20018-2827
Phone
(202) 526-3880
Fax
(202) 526-3944
NPI assigned
Jan 2, 2019
Last updated
Jan 2, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2019

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

Authorized official

Name
Mr. Philip Johnson
Title
Ceo
Phone
(202) 526-3880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

2218 Rhode Island Ave NE
Washington, DC 20018-2827

Mailing address

2218 Rhode Island Ave NE
Washington, DC 20018-2827
Phone (202) 526-3880

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200226001032 DC Part B Supplier - Clinic/Group Practice 1355778622 Receives reassigned benefits from 1 practitioner
Practice locations: Washington, DC

National Provider Directory

National Provider Directory

Locations

2041 Martin Luther King Jr Ave SE
Ste 234
Washington, DC 20020
Phone (202) 610-0066

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1546387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546387200000",
    "number": "1154894152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2218 RHODE ISLAND AVE NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200182827",
            "telephone_number": "202-526-3880",
            "fax_number": "202-526-3944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2218 RHODE ISLAND AVE NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200182827",
            "telephone_number": "202-526-3880",
            "fax_number": "202-526-3944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P&G BEHAVIORAL HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-02",
        "last_updated": "2019-01-02",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "202-526-3880",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "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 Jan 2, 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.