Therapeutic Transitions, Inc.

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

LC301584 Issued in DC

Legal business name

THERAPEUTIC TRANSITIONS, INC.

Practice address

823 12TH St NE
Washington, DC 20002-4462

Phone

(202) 397-5042

Fax

(101) 397-1684

NPI assigned

Jan 30, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Corlis Yvonne Randolph, PH.D.NPI 1790822856

Title

Administrator

Phone

(202) 397-5042

Specialties & licenses 1

Addresses

Other identifiers 3

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Corlis Yvonne Randolph, PH.D.

  • Clinical Social Worker
  • Washington, DC
  • NPI 1790822856
  Authorized official Same address or phone

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437296571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "823 12TH ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200024462",
            "telephone_number": "202-397-5042",
            "fax_number": "202-397-1684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "823 12TH ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200024462",
            "telephone_number": "202-397-5042",
            "fax_number": "101-397-1684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPEUTIC TRANSITIONS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RANDOLPH",
        "authorized_official_first_name": "CORLIS",
        "authorized_official_middle_name": "YVONNE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "202-397-5042",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "DC",
            "license": "LC301584",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHARTERED HEALTH - JOHNSO",
            "identifier": "21726",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHARTERED HEALTH",
            "identifier": "21727",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "117892",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Therapeutic Sessions Corporation (Therapeutic Sessions)
• Therapy Cafe LLC (Therapy Cafe)
• Therapy to a Tea Co
• Therapydia, Inc.
• Therapyease
• Forbin Therese L Esongwa

• Mental Health Clinic/Center (Including Community Mental Health Center) in Washington, DC
• Providers in Washington, DC by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.