Individual provider Active NPI

Joy D Nagorniak, PSY.D.

  • Clinical Psychologist
  • Washington, DC
National Provider Identifier
1548533458
Registry record updated May 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY1000318 Issued in DC
Practice address
3 Washington Cir NW
Suite 406
Washington, DC 20037-2356
Phone
(571) 308-3695
Fax
(888) 355-0210
NPI assigned
Feb 23, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2014

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 PSY1000318 DC Primary
Clinical Psychologist 103TC0700X 4245 MD

Addresses

Primary practice location

3 Washington Cir NW
Suite 406
Washington, DC 20037-2356

Mailing address

3 Washington Cir NW
Suite 406
Washington, DC 20037-2356
Phone (571) 308-3695

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 13, 2020 through Feb 13, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PSY1000318DCMDClinical Psychologist
4245MDMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1329955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399852800000",
    "number": "1548533458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 WASHINGTON CIR NW",
            "address_2": "SUITE 406",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200372356",
            "telephone_number": "571-308-3695",
            "fax_number": "888-355-0210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 WASHINGTON CIR NW",
            "address_2": "SUITE 406",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200372356",
            "telephone_number": "571-308-3695",
            "fax_number": "888-355-0210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAGORNIAK",
        "first_name": "JOY",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-23",
        "last_updated": "2014-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "DC",
            "license": "PSY1000318",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "4245",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.