Individual provider Active NPI

Pavel B Snejnevski, PH.D.

  • Psychologist
  • Washington, DC
National Provider Identifier
1598912610
Registry record updated Aug 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY1764 Issued in DC
Practice address
3014 Q St NW
Washington, DC 20007-3080
Phone
(202) 965-6564
NPI assigned
Aug 20, 2008
Last updated
Aug 20, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY1764 DC Primary
Clinical Psychologist 103TC0700X 0810002613 VA

Addresses

Primary practice location

3014 Q St NW
Washington, DC 20007-3080

Mailing address

3014 Q St NW
Washington, DC 20007-3080
Phone (202) 965-6564

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120328000058 DC Practitioner - Clinical Psychologist 9335309434 Practice locations: Washington, DC

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4901 Connecticut Ave NW
Washington, DC 20008-2022
Phone (202) 965-6564

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY1764DCMDPsychologist
0810002613VAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1219190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219190400000",
    "number": "1598912610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3014 Q ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200073080",
            "telephone_number": "202-965-6564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3014 Q ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200073080",
            "telephone_number": "202-965-6564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNEJNEVSKI",
        "first_name": "PAVEL",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-20",
        "last_updated": "2008-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "DC",
            "license": "PSY1764",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810002613",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.