NPIMap

Organization Active NPI

Psi Services III, Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Washington, DC
National Provider Identifier
1285305292
Registry record updated Sep 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
PSI SERVICES III, INC
Practice address
5820 Dix St NE
Washington, DC 20019-6965
Phone
(202) 547-3870
NPI assigned
Sep 21, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2021

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

Authorized official

Name
Shawn Rubbin
Title
Executive Officer
Phone
(301) 552-7120

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

5820 Dix St NE
Washington, DC 20019-6965

Mailing address

8301 Professional PL Ste 205
Hyattsville, MD 20785-2353
Phone (301) 552-7120

National Provider Directory

National Provider Directory
Tax ID family
Psi Services III Inc12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1632182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632441600000",
    "number": "1285305292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8301 PROFESSIONAL PL STE 205",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207852353",
            "telephone_number": "301-552-7120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5820 DIX ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200196965",
            "telephone_number": "202-547-3870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSI SERVICES III, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-21",
        "last_updated": "2021-09-24",
        "certification_date": "2021-09-24",
        "status": "A",
        "authorized_official_last_name": "RUBBIN",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "301-552-7120"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "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 24, 2021; 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.