Individual provider Active NPI

Patricia Dalton, PHD

  • Clinical Psychologist
  • Washington, DC
National Provider Identifier
1487731055
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1274 Issued in DC
Practice address
4545 Connecticut Avenue NW
Suite 309
Washington, DC 20008-6042
Phone
(202) 537-0330
Fax
(703) 671-6157
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 1274 DC Primary
Clinical Psychologist 103TC0700X 0810002025 VA

Addresses

Primary practice location

4545 Connecticut Avenue NW
Suite 309
Washington, DC 20008-6042

Mailing address

4545 Connecticut Avenue NW
Suite 309
Washington, DC 20008-6042
Phone (202) 537-0330

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
0810002025VAMDClinical Psychologist
1274DCMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487731055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4545 CONNECTICUT AVENUE NW",
            "address_2": "SUITE 309",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200086042",
            "telephone_number": "202-537-0330",
            "fax_number": "703-671-6157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 CONNECTICUT AVENUE NW",
            "address_2": "SUITE 309",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200086042",
            "telephone_number": "202-537-0330",
            "fax_number": "703-671-6157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALTON",
        "first_name": "PATRICIA",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "DC",
            "license": "1274",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810002025",
            "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 Jul 8, 2007; 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.