Active NPI
Harold J. Wain, PH.D.
- Psychologist
- Washington, DC
National Provider Identifier
1427111475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 488
- Practice address
- Walter Reed Army Medcial Dept of Psychiatry Ctr
6900 Georgia Ave
Washington, DC 20307-0001 - Phone
- (202) 782-9949
- Fax
- (202) 782-8396
- NPI assigned
- Dec 19, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 488 | DC | Primary |
Addresses
Primary practice location
Walter Reed Army Medcial Dept of Psychiatry Ctr
6900 Georgia Ave
Washington, DC 20307-0001
Mailing address
9121 Copenhaver Dr
Potomac, MD 20854-3014
Phone (301) 279-2210
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 |
|---|---|---|---|
| 488 | DC | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1427111475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9121 COPENHAVER DR",
"city": "POTOMAC",
"state": "MD",
"postal_code": "208543014",
"telephone_number": "301-279-2210",
"fax_number": "202-782-8396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "WALTER REED ARMY MEDCIAL DEPT OF PSYCHIATRY CTR",
"address_2": "6900 GEORGIA AVE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "203070001",
"telephone_number": "202-782-9949",
"fax_number": "202-782-8396"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAIN",
"first_name": "HAROLD",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "DC",
"license": "488",
"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 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.