NPIMap

Organization Active NPI

Psi Family Services Inc

  • Mental Illness Community Based Residential Treatment Facility
National Provider Identifier
1497099584
Registry record updated Nov 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
MD25574 Issued in DC
Legal business name
PSI FAMILY SERVICES INC
Practice address
701 M Street SE
Washington, NA 20003
UM
Phone
(202) 547-3870
Fax
(202) 546-9642
NPI assigned
Nov 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2012

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

Authorized official

Name
Dr. Horace Green, M.D.
Title
Medical Director
Phone
(202) 547-3870

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X MD25574 DC Primary

Addresses

Primary practice location

701 M Street SE
Washington, NA 20003
UM

Mailing address

7101 Wisconsin Ave Ste 7101
Bethesda, MD 20814-4871
Phone (301) 654-3903

National Provider Directory

National Provider Directory
Tax ID family
Psi Services III Inc12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7101 Wisconsin Ave
Ste 7101
Bethesda, MD 20814

NPI Registry JSON

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352937600000",
    "number": "1497099584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7101 WISCONSIN AVE STE 7101",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208144871",
            "telephone_number": "301-654-3903",
            "fax_number": "301-654-4418"
        },
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "LOCATION",
            "address_type": "FGN",
            "address_1": "701 M STREET SE",
            "city": "WASHINGTON",
            "state": "NA",
            "postal_code": "20003",
            "telephone_number": "202-547-3870",
            "fax_number": "202-546-9642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSI FAMILY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-15",
        "last_updated": "2012-11-15",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "HORACE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "202-547-3870",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "DC",
            "license": "MD25574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; 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.