Active NPI
Brigitte Ladisch, PHD
- Psychologist
- Washington, DC
National Provider Identifier
1346461167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY1899
- Practice address
- 2000 P St NW
Suite 710
Washington, DC 20036-5915 - Phone
- (301) 654-2124
- Fax
- (301) 652-6250
- NPI assigned
- May 1, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY1899 | DC | Primary |
| Psychologist | 103T00000X | 02903 | MD |
Addresses
Primary practice location
2000 P St NW
Suite 710
Washington, DC 20036-5915
Mailing address
3222 Pickwick LN
Chevy Chase, MD 20815-4042
Phone (301) 654-2124
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
| License | State | Type | Specialty |
|---|---|---|---|
| PSY1899 | DC | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Washington Assessment & Therapy Services | Past | Accepting new patients | |
| Affiliated Sante Group | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Silver Spring, MD
- NPI 1083720569
-
dba Ronald D Wynne PhD
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Kensington, MD
- NPI 1689710022
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1346461167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3222 PICKWICK LN",
"city": "CHEVY CHASE",
"state": "MD",
"postal_code": "208154042",
"telephone_number": "301-654-2124",
"fax_number": "301-652-6250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 P ST NW",
"address_2": "SUITE 710",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200365915",
"telephone_number": "301-654-2124",
"fax_number": "301-652-6250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LADISCH",
"first_name": "BRIGITTE",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "DC",
"license": "PSY1899",
"primary": true
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MD",
"license": "02903",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.