Individual provider Active NPI

Michael Gerard Sweda, PH.D.

  • Clinical Psychologist
  • Washington, DC
National Provider Identifier
1265602148
Registry record updated Mar 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY1000075 Issued in DC
Practice address
Walter Reed Army Medical Center; Building 6
6900 Georgia Avenue, NW; Building 6
Washington, DC 20307-0001
Phone
(202) 782-5899
Fax
(202) 782-7165
NPI assigned
Mar 6, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2008

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY1000075 DC Primary
Clinical Psychologist 103TC0700X 0810001688 VA
Clinical Psychologist 103TC0700X 02616 MD

Addresses

Primary practice location

Walter Reed Army Medical Center; Building 6
6900 Georgia Avenue, NW; Building 6
Washington, DC 20307-0001

Mailing address

Walter Reed Army Medical Center; Building 6
6900 Georgia Avenue, NW; Building 6
Washington, DC 20307-0001
Phone (202) 782-5899

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY1000075DCMDClinical Psychologist
02616MDMDClinical Psychologist
0810001688VAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1204761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204761600000",
    "number": "1265602148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "WALTER REED ARMY MEDICAL CENTER; BUILDING 6",
            "address_2": "6900 GEORGIA AVENUE, NW; BUILDING 6",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "203070001",
            "telephone_number": "202-782-5899",
            "fax_number": "202-782-7165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WALTER REED ARMY MEDICAL CENTER; BUILDING 6",
            "address_2": "6900 GEORGIA AVENUE, NW; BUILDING 6",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "203070001",
            "telephone_number": "202-782-5899",
            "fax_number": "202-782-7165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWEDA",
        "first_name": "MICHAEL",
        "middle_name": "GERARD",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-06",
        "last_updated": "2008-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "DC",
            "license": "PSY1000075",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810001688",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "02616",
            "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 Mar 6, 2008; 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.