Individual provider Active NPI

Carol Hausman, PH.D.

  • Clinical Psychologist
  • Washington, DC
National Provider Identifier
1205025855
Registry record updated Oct 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
928 Issued in DC
Practice address
4707 Connecticut Ave NW
Suite 104
Washington, DC 20008-5631
Phone
(202) 966-7851
Fax
(202) 966-5422
NPI assigned
Oct 19, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 928 DC
Clinical Psychologist 103TC0700X 928 DC Primary

Addresses

Primary practice location

4707 Connecticut Ave NW
Suite 104
Washington, DC 20008-5631

Mailing address

4000 Cathedral Ave NW
Apt 332B
Washington, DC 20016-5249
Phone (202) 966-7851

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
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
928DCMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1192752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192752000000",
    "number": "1205025855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 CATHEDRAL AVE NW",
            "address_2": "APT 332B",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200165249",
            "telephone_number": "202-966-7851",
            "fax_number": "202-966-5422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4707 CONNECTICUT AVE NW",
            "address_2": "SUITE 104",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200085631",
            "telephone_number": "202-966-7851",
            "fax_number": "202-966-5422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUSMAN",
        "first_name": "CAROL",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-19",
        "last_updated": "2007-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "DC",
            "license": "928",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "DC",
            "license": "928",
            "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 Oct 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.