Active NPI
Amber R. Cargill, PSY.D.
- Clinical Psychologist
- Washington, DC
National Provider Identifier
1255630828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 0810004353
- Practice address
- 2141 K St NW Ste 605
Washington, DC 20037-1810 - Phone
- (202) 223-9844
- Fax
- (202) 223-9845
- NPI assigned
- Mar 22, 2011
- Last updated
- Oct 6, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 0810004353 | VA | Primary |
| Exercise & Sports Psychologist | 103TE1100X |
Addresses
Primary practice location
2141 K St NW Ste 605
Washington, DC 20037-1810
Mailing address
2141 K St NW Ste 605
Washington, DC 20037-1810
Phone (202) 223-9844
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 |
|---|---|---|---|
| 0810004353 | VA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sport Psyence, LLC | Clinical | Current | Accepting new patients |
| Psychological Group of Washington | Clinical | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Psychologist
- Arlington, VA
- NPI 1841802816
-
- Clinical Psychologist
- Washington, DC
- NPI 1265765820
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317859200000",
"number": "1255630828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2141 K ST NW STE 605",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200371810",
"telephone_number": "202-223-9844",
"fax_number": "202-223-9845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2141 K ST NW STE 605",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200371810",
"telephone_number": "202-223-9844",
"fax_number": "202-223-9845"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARGILL",
"first_name": "AMBER",
"middle_name": "R.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-22",
"last_updated": "2011-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "0810004353",
"primary": true
},
{
"code": "103TE1100X",
"taxonomy_group": "",
"desc": "Psychologist, Exercise & Sports",
"state": null,
"license": null,
"primary": false
}
],
"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 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.