NPIMap

Organization Active NPI

DBH- Saint Elizabeths Hospital

  • Psychiatric Hospital
  • Washington, DC
National Provider Identifier
1497129191
Registry record updated Nov 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
License
MTL002903 Issued in DC
Legal business name
DBH- SAINT ELIZABETHS HOSPITAL
Practice address
1100 Alabama Ave SE
Saint Elizabeths Hospital-DBH Room # 238.01
Washington, DC 20032
Phone
(202) 299-5360
NPI assigned
Nov 18, 2015
Organization subpart
No

Practitioners 1

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

National Provider Directory

National Provider Directory
Tax ID family
DC Urology Phys GRP29 organizations share this tax ID, including this one

Other organizations with this tax ID 28

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

View all 28

Locations

1100 Alabama Ave SE
Rm 23801
Washington, DC 20032
Phone (202) 299-5360

NPPES NPI Registry

Updated by the provider on Nov 18, 2015

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

Authorized official

Name
Farooq Mohyuddin, M.D.
Title
Director Psychiatry Residency
Phone
(202) 299-5360

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X MTL002903 DC Primary

Addresses

Primary practice location

1100 Alabama Ave SE
Saint Elizabeths Hospital-DBH Room # 238.01
Washington, DC 20032

Mailing address

3901 Suitland Rd
Apt# 1014
Suitland, MD 20746-1955
Phone (559) 905-0332

NPI Registry JSON

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

{
    "created_epoch": "1447804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447804800000",
    "number": "1497129191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 SUITLAND RD",
            "address_2": "APT# 1014",
            "city": "SUITLAND",
            "state": "MD",
            "postal_code": "207461955",
            "telephone_number": "559-905-0332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 ALABAMA AVE SE",
            "address_2": "SAINT ELIZABETHS HOSPITAL-DBH ROOM # 238.01",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20032",
            "telephone_number": "202-299-5360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DBH- SAINT ELIZABETHS HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-18",
        "last_updated": "2015-11-18",
        "status": "A",
        "authorized_official_last_name": "MOHYUDDIN",
        "authorized_official_first_name": "FAROOQ",
        "authorized_official_title_or_position": "DIRECTOR PSYCHIATRY RESIDENCY",
        "authorized_official_telephone_number": "202-299-5360",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "DC",
            "license": "MTL002903",
            "primary": true
        }
    ],
    "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 Nov 18, 2015; 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.