Active NPI
Kathryn Hodges Camicia, PHD
- Counseling Psychologist
- Washington, DC
National Provider Identifier
1184884223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 927
- Practice address
- 1350 Conn. Ave., N.W.
Suite 405
Washington, DC 20036 - Phone
- (202) 328-0800
- NPI assigned
- Jun 12, 2008
- Last updated
- Sep 26, 2013
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 927 | DC | Primary |
Addresses
Primary practice location
1350 Conn. Ave., N.W.
Suite 405
Washington, DC 20036
Mailing address
1350 Conn Ave NW
Suite 405
Washington, DC 20036-1722
Phone (202) 328-0800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050729000683 | DC | Practitioner - Clinical Psychologist | 6800824962 | Practice locations: Washington, DC |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3408 Macomb St NW
Washington, DC 20016-3160
Phone (202) 957-9602
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 927 | DC | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380153600000",
"number": "1184884223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1350 CONN AVE NW",
"address_2": "SUITE 405",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200361722",
"telephone_number": "202-328-0800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1350 CONN. AVE., N.W.",
"address_2": "SUITE 405",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "20036",
"telephone_number": "202-328-0800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMICIA",
"first_name": "KATHRYN",
"middle_name": "HODGES",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-12",
"last_updated": "2013-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "DC",
"license": "927",
"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 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.