Active NPI
Kevin Isserman, PSY.D
- Clinical Psychologist
- Washington, DC
National Provider Identifier
1386301752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY200001271
- Practice address
- 1350 Connecticut Ave NW Ste 800
Washington, DC 20036-1733 - Phone
- (202) 986-5941
- NPI assigned
- Nov 20, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY200001271 | DC | Primary |
Addresses
Primary practice location
1350 Connecticut Ave NW Ste 800
Washington, DC 20036-1733
Mailing address
1910 Kalorama Rd NW Apt 2
Washington, DC 20009-1448
Phone (850) 712-7942
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY200001271 | DC | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637366400000",
"number": "1386301752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1910 KALORAMA RD NW APT 2",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200091448",
"telephone_number": "850-712-7942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1350 CONNECTICUT AVE NW STE 800",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200361733",
"telephone_number": "202-986-5941"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISSERMAN",
"first_name": "KEVIN",
"credential": "PSY.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-11-20",
"last_updated": "2021-11-20",
"certification_date": "2021-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "DC",
"license": "PSY200001271",
"primary": true
}
],
"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 Nov 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.