Re-New Psychological Services

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY1000629 Issued in DC

Legal business name

RE-NEW PSYCHOLOGICAL SERVICES

Practice address

1115 Massachusetts Ave NW
Washington, DC 20005-4604

Phone

(202) 341-0500

Fax

(877) 637-7491

NPI assigned

May 20, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Krystal Stanley, PH.D.

Title

Owner

Phone

(202) 341-0500

Specialties & licenses 4

Addresses

Locations

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

{
    "created_epoch": "1369008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392681600000",
    "number": "1437595212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 MASSACHUSETTS AVE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200054604",
            "telephone_number": "202-341-0500",
            "fax_number": "877-637-7491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 MASSACHUSETTS AVE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200054604",
            "telephone_number": "202-341-0500",
            "fax_number": "877-637-7491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RE-NEW PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-20",
        "last_updated": "2014-02-18",
        "status": "A",
        "authorized_official_last_name": "STANLEY",
        "authorized_official_first_name": "KRYSTAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-341-0500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "DC",
            "license": "PRC14325",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "DC",
            "license": "PSY1000629",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "DC",
            "license": "PSY1000866",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50079281",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Washington, DC
• Providers in Washington, DC by specialty
• Clinical Psychologist in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2014; 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.