NPIMap

Organization Active NPI

Washington Behavioral Medicine Associates, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chevy Chase, MD
National Provider Identifier
1336553320
Registry record updated Jun 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
WASHINGTON BEHAVIORAL MEDICINE ASSOCIATES, LLC
Practice address
5480 Wisconsin Ave # 223
Chevy Chase, MD 20815-3530
Phone
(301) 576-6044
Fax
(301) 576-1645
NPI assigned
Jun 17, 2014
Last updated
Jun 17, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2014

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

Authorized official

Name
Dr. Gonzalo Laje, MDNPI 1750501516
Title
Director
Phone
(301) 576-6044

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

5480 Wisconsin Ave # 223
Chevy Chase, MD 20815-3530

Mailing address

5480 Wisconsin Ave # 223
Chevy Chase, MD 20815-3530
Phone (301) 576-6044

National Provider Directory

National Provider Directory

Locations

5480 Wisconsin Ave
Ste 223
Chevy Chase, MD 20815
Phone (301) 455-4149

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1402963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402963200000",
    "number": "1336553320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5480 WISCONSIN AVE # 223",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208153530",
            "telephone_number": "301-576-6044",
            "fax_number": "301-576-1645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5480 WISCONSIN AVE # 223",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208153530",
            "telephone_number": "301-576-6044",
            "fax_number": "301-576-1645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON BEHAVIORAL MEDICINE ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-17",
        "last_updated": "2014-06-17",
        "status": "A",
        "authorized_official_last_name": "LAJE",
        "authorized_official_first_name": "GONZALO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "301-576-6044",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chevy Chase, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2014; 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.