Organization Active NPI

Wisdom One LLC

  • Adult Mental Health Clinic/Center
  • Washington, DC
National Provider Identifier
1497308191
Registry record updated Jul 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
WISDOM ONE LLC
Practice address
7603 Georgia Ave NW Ste 202
Washington, DC 20012-1617
Phone
(202) 836-4859
Fax
(202) 291-2249
NPI assigned
Jul 22, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2019

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

Authorized official

Name
Charles Tekeh, BSC
Title
Administrator
Phone
(202) 836-4859

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

7603 Georgia Ave NW Ste 202
Washington, DC 20012-1617

Mailing address

7603 Georgia Ave NW Ste 202
Washington, DC 20012-1617
Phone (028) 364-8592

National Provider Directory

National Provider Directory

Locations

7603 Georgia Ave NW
Ste 202
Washington, DC 20012
Phone (202) 836-4857

NPI Registry JSON

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

{
    "created_epoch": "1563753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563753600000",
    "number": "1497308191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7603 GEORGIA AVE NW STE 202",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200121617",
            "telephone_number": "028-364-8592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7603 GEORGIA AVE NW STE 202",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200121617",
            "telephone_number": "202-836-4859",
            "fax_number": "202-291-2249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISDOM ONE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-22",
        "last_updated": "2019-07-22",
        "status": "A",
        "authorized_official_last_name": "TEKEH",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "202-836-4859",
        "authorized_official_credential": "BSC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "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 Jul 22, 2019; 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.