NPIMap

Organization Active NPI

Psi Services III, Inc.

  • Clinic/Center
  • Washington, DC
National Provider Identifier
1366653487
Registry record updated Oct 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
0020 Issued in DC
Legal business name
PSI SERVICES III, INC.
Practice address
770 M St SE
Washington, DC 20003-3609
Phone
(202) 547-3870
Fax
(202) 546-9642
NPI assigned
May 24, 2007
Last updated
Oct 25, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2012

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

Authorized official

Name
Mrs. Helen Bacon Dortch
Title
V.P. Finance
Phone
(301) 654-3903

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 0020 DC Primary

Addresses

Primary practice location

770 M St SE
Washington, DC 20003-3609

Mailing address

7101 Wisconsin Ave
Suite 1400
Bethesda, MD 20814-4871
Phone (301) 654-3903

Other identifiers 1

IdentifierTypeStateIssuer
022657600MedicaidDC

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.

Locations

7101 Wisconsin Ave
Ste 1400
Bethesda, MD 20814
Phone (301) 654-3903

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351123200000",
    "number": "1366653487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7101 WISCONSIN AVE",
            "address_2": "SUITE 1400",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208144871",
            "telephone_number": "301-654-3903",
            "fax_number": "301-654-4418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 M ST SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200033609",
            "telephone_number": "202-547-3870",
            "fax_number": "202-546-9642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSI SERVICES III, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2012-10-25",
        "status": "A",
        "authorized_official_last_name": "DORTCH",
        "authorized_official_first_name": "HELEN",
        "authorized_official_middle_name": "BACON",
        "authorized_official_title_or_position": "V.P. FINANCE",
        "authorized_official_telephone_number": "301-654-3903",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "DC",
            "license": "0020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022657600",
            "state": "DC"
        }
    ],
    "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 Oct 25, 2012; 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.