Individual provider Active NPI

Marianne Tamulevich, PH.D

  • Psychologist
  • Washington, DC
National Provider Identifier
1457596249
Registry record updated Dec 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1101 Issued in DC
Practice address
1700 17TH St NW
Suite 601
Washington, DC 20009-2453
Phone
(202) 234-9342
NPI assigned
Dec 8, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 1101 DC Primary

Addresses

Primary practice location

1700 17TH St NW
Suite 601
Washington, DC 20009-2453

Mailing address

1700 17TH St NW
Suite 601
Washington, DC 20009-2453
Phone (202) 234-9342

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Oct 1, 2019 through Oct 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1101DCMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1228694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228694400000",
    "number": "1457596249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 17TH ST NW",
            "address_2": "SUITE 601",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200092453",
            "telephone_number": "202-234-9342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 17TH ST NW",
            "address_2": "SUITE 601",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200092453",
            "telephone_number": "202-234-9342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMULEVICH",
        "first_name": "MARIANNE",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-08",
        "last_updated": "2008-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "DC",
            "license": "1101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.