Tyrone Patterson Sr.

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CACII1149 Issued in DC

Practice address

1900 Massachusetts Ave SE BLDG 13
Washington, DC 20003-2542

Phone

(202) 682-6579

NPI assigned

Jun 8, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1686182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686182400000",
    "number": "1386338556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 CHARTSEY ST",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207741806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 MASSACHUSETTS AVE SE BLDG 13",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200032542",
            "telephone_number": "202-682-6579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "TYRONE",
        "name_suffix": "Sr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-08",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "DC",
            "license": "CACII1149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raymond Frederick Patterson, M.D.
• Ricardo Patterson
• Sean Patterson, LICSW
• Stephon Patterson, LPC
• Tiffany Patterson
• Abiana Patton-Toure, CPM
• Charles Lewis Patton III, LMT, NCTMB
• Laura Jeanne Patton, LICSW
• Joseph Giuseppe Ramil Paturzo, MD
• Norma Paucarmayta

• Addiction (Substance Use Disorder) Counselor in Washington, DC
• Providers in Washington, DC by specialty
• Addiction (Substance Use Disorder) Counselor in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; 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.