Individual provider Active NPI

Adi Shmueli, PH.D.

  • Adult Development & Aging Psychologist
  • Washington, DC
National Provider Identifier
1447455894
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Development & Aging PsychologistTaxonomy code 103TA0700X
License
PSY727 Issued in DC
Practice address
1612 K St NW
Suite 1202
Washington, DC 20006-2802
Phone
(202) 463-8828
Fax
(202) 463-0701
NPI assigned
Jun 17, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Development & Aging Psychologist 103TA0700X PSY727 DC Primary
Cognitive & Behavioral Psychologist 103TB0200X PSY727 DC
Clinical Psychologist 103TC0700X PSY727 DC
Clinical Child & Adolescent Psychologist 103TC2200X PSY727 DC
Family Psychologist 103TF0000X PSY727 DC

Addresses

Primary practice location

1612 K St NW
Suite 1202
Washington, DC 20006-2802

Mailing address

9021 Alton Pkwy
Silver Spring, MD 20910-2716
Phone (301) 495-5894

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

LicenseStateTypeSpecialty
PSY727DCMDAdult Development & Aging Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1182038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1447455894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9021 ALTON PKWY",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209102716",
            "telephone_number": "301-495-5894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1612 K ST NW",
            "address_2": "SUITE 1202",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200062802",
            "telephone_number": "202-463-8828",
            "fax_number": "202-463-0701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHMUELI",
        "first_name": "ADI",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-17",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TA0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "DC",
            "license": "PSY727",
            "primary": true
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "DC",
            "license": "PSY727",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "DC",
            "license": "PSY727",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "DC",
            "license": "PSY727",
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "DC",
            "license": "PSY727",
            "primary": false
        }
    ],
    "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 Sep 11, 2025; 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.