Individual provider Active NPI

Sunita Duggal, PH.D.

  • Psychologist
  • Washington, DC
National Provider Identifier
1194949461
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1000086 Issued in DC
Practice address
5247 Wisconsin Ave NW
Suite 4
Washington, DC 20015-2012
Phone
(202) 686-7699
Fax
(202) 362-9633
NPI assigned
Apr 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 1000086 DC Primary

Addresses

Primary practice location

5247 Wisconsin Ave NW
Suite 4
Washington, DC 20015-2012

Mailing address

3624 Jenifer St NW
Washington, DC 20015-1752
Phone (202) 686-7699

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Mar 22, 2017 through Mar 22, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1000086DCMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Wake Kendall Group, PLLC Psychologist 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": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194949461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3624 JENIFER ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200151752",
            "telephone_number": "202-686-7699",
            "fax_number": "202-362-9633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5247 WISCONSIN AVE NW",
            "address_2": "SUITE 4",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200152012",
            "telephone_number": "202-686-7699",
            "fax_number": "202-362-9633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUGGAL",
        "first_name": "SUNITA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "DC",
            "license": "1000086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.