Individual provider Active NPI

Sheina Godovich, PHD

  • Clinical Psychologist
  • Washington, DC
National Provider Identifier
1336862606
Registry record updated Sep 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSYA200001299 Issued in DC
Practice address
6833 4TH St NW
Washington, DC 20012-1901
Phone
(202) 729-3300
NPI assigned
Sep 22, 2022
Last updated
Sep 22, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSYA200001299 DC Primary

Addresses

Primary practice location

6833 4TH St NW
Washington, DC 20012-1901

Mailing address

6833 4TH St NW
Washington, DC 20012-1901

Other practice location 1

641 S St NW
Washington, DC 20001-5196
Phone (202) 476-2123

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231110000295 DC Practitioner - Clinical Psychologist 4880041938 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSYA200001299DCMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Hospital CurrentSince Oct 24, 2023 Accepting new patients
Children's Hospital CurrentSince Oct 24, 2023 Accepting new patients
Children's Hospital Current Accepting new patients

Locations

6833 4th St NW
Washington, DC 20012
Phone (202) 729-3300

641 S St NW
Washington, DC 20001
Phone (202) 476-2123

111 Michigan Ave NW
Washington, DC 20010
Phone (202) 476-3670

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1663804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663804800000",
    "number": "1336862606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6833 4TH ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200121901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6833 4TH ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200121901",
            "telephone_number": "202-729-3300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "641 S St NW",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200015196",
            "country_code": "US",
            "telephone_number": "202-476-2123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GODOVICH",
        "first_name": "SHEINA",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-22",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "DC",
            "license": "PSYA200001299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.