NPIMap

Organization Active NPI

D.C. Department of Behavioral Health

  • Clinic Pharmacy
  • Washington, DC
National Provider Identifier
1295292944
Registry record updated Feb 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
Legal business name
D.C. DEPARTMENT OF BEHAVIORAL HEALTH
Practice address
35 K St NE
Washington, DC 20002-4216
Phone
(202) 671-3206
NPI assigned
Feb 28, 2019
Last updated
Feb 28, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
GOVERNMENT OF THE DISTRICT OF COLUMBIA OFFICE OF TAX AND REVENUEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 28, 2019

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

Authorized official

Name
Tamisha Nicole Kelly Smith
Title
Medicaid Eligibility Comp. Officer
Phone
(202) 671-3206

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X Primary

Addresses

Primary practice location

35 K St NE
Washington, DC 20002-4216

Mailing address

64 New York Ave NE FL E2
Washington, DC 20002-3320
Phone (202) 671-3206

Other names 1

  • 35 K Street Pharmacy DC DBH/Mental Health Service Division Other name

National Provider Directory

National Provider Directory
Tax ID family
D C Medicaid29 organizations share this tax ID, including this one
Part of
D C Medicaid

Other organizations with this tax ID 28

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

View all 28

Locations

64 New York Ave NE
Fl E2
Washington, DC 20002

NPI Registry JSON

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

{
    "created_epoch": "1551312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551312000000",
    "number": "1295292944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 NEW YORK AVE NE FL E2",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200023320",
            "telephone_number": "202-671-3206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 K ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200024216",
            "telephone_number": "202-671-3206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D.C. DEPARTMENT OF BEHAVIORAL HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GOVERNMENT OF THE DISTRICT OF COLUMBIA OFFICE OF TAX AND REVENUE",
        "enumeration_date": "2019-02-28",
        "last_updated": "2019-02-28",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "TAMISHA",
        "authorized_official_middle_name": "NICOLE KELLY",
        "authorized_official_title_or_position": "MEDICAID ELIGIBILITY COMP. OFFICER",
        "authorized_official_telephone_number": "202-671-3206"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "35 K Street Pharmacy DC DBH/Mental Health Service Division",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Feb 28, 2019; 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.