Organization Active NPI

Institute for Life Enrichment PC

  • Psychologist
  • Washington, DC
National Provider Identifier
1457464299
Registry record updated Mar 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY571 Issued in DC
Legal business name
INSTITUTE FOR LIFE ENRICHMENT PC
Practice address
7852 16TH Street NW
Washington, DC 20012-1204
Phone
(202) 291-5009
Fax
(202) 291-2080
NPI assigned
Aug 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2012

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

Authorized official

Name
Dr. James E Savage Jr., PHDNPI 1629011515
Title
Clinical Psychologist
Phone
(202) 291-5008

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103T00000X PSY571 DC Primary
PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103T00000X 02982 MD

Addresses

Primary practice location

7852 16TH Street NW
Washington, DC 20012-1204

Mailing address

7852 16TH Street NW
Washington, DC 20012-1204
Phone (202) 291-5009

Other identifiers 2

IdentifierTypeStateIssuer
773211200MedicaidMD
023011400MedicaidDC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120517000478 DC Part B Supplier - Clinic/Group Practice 9830352418 Receives reassigned benefits from 1 practitioner
Practice locations: College Park, MD; Washington, DC

National Provider Directory

National Provider Directory

Locations

5601 Loch Raven Blvd
Ste 105
Baltimore, MD 21239
Phone (443) 444-3848

5601 Loch Raven Blvd
#301
Baltimore, MD 21239
Phone (443) 444-3848

4700 Berwyn House Rd
Ste 101A
College Park, MD 20740
Phone (301) 474-3750

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331856000000",
    "number": "1457464299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7852 16TH STREET NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200121204",
            "telephone_number": "202-291-5009",
            "fax_number": "202-291-2080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7852 16TH STREET NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200121204",
            "telephone_number": "202-291-5009",
            "fax_number": "202-291-2080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSTITUTE FOR LIFE ENRICHMENT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2012-03-16",
        "status": "A",
        "authorized_official_last_name": "SAVAGE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "202-291-5008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "DC",
            "license": "PSY571",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "MD",
            "license": "02982",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "773211200",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "023011400",
            "state": "DC"
        }
    ],
    "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 Mar 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.