Individual provider Active NPI

Philip Sain

  • Social Worker
  • Temple Hills, MD
National Provider Identifier
1457062887
Registry record updated Dec 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
LG50083821 Issued in DC
Practice address
4518 Beech Rd Ste 230
Temple Hills, MD 20748-6735
Phone
(202) 643-3592
NPI assigned
Dec 6, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LG50083821 DC Primary

Addresses

Primary practice location

4518 Beech Rd Ste 230
Temple Hills, MD 20748-6735

Mailing address

4518 Beech Rd Ste 230
Temple Hills, MD 20748-6735
Phone (202) 643-3592

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL forustherapeutics@gmail.com Direct

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

State licenses

LicenseStateTypeSpecialty
LG50083821DCMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1670284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670284800000",
    "number": "1457062887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4518 BEECH RD STE 230",
            "city": "TEMPLE HILLS",
            "state": "MD",
            "postal_code": "207486735",
            "telephone_number": "202-643-3592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4518 BEECH RD STE 230",
            "city": "TEMPLE HILLS",
            "state": "MD",
            "postal_code": "207486735",
            "telephone_number": "202-643-3592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAIN",
        "first_name": "PHILIP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-12-06",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "DC",
            "license": "LG50083821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "forustherapeutics@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4518 Beech Rd Ste 230",
            "city": "Temple Hills",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207486735",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Temple Hills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2022; 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.