Organization Active NPI

The Ludic Group

  • Clinical Psychologist
  • Washington, DC
National Provider Identifier
1609406248
Registry record updated Jan 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
THE LUDIC GROUP
Practice address
1350 Connecticut Ave NW Ste 307
Washington, DC 20036-1738
Phone
(202) 630-0458
NPI assigned
Jan 23, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2020

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

Authorized official

Name
Dr. Matthew Dang Fleming, PSYDNPI 1194846105
Title
Member
Phone
(703) 304-7082

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

1350 Connecticut Ave NW Ste 307
Washington, DC 20036-1738

Mailing address

1401 N Illinois St
Arlington, VA 22205-2762
Phone (703) 304-7082

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.Luminello.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

1350 Connecticut Ave NW
Ste 307
Washington, DC 20036
Phone (202) 463-6634

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1579737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579737600000",
    "number": "1609406248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 N ILLINOIS ST",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222052762",
            "telephone_number": "703-304-7082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 CONNECTICUT AVE NW STE 307",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200361738",
            "telephone_number": "202-630-0458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LUDIC GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-23",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A",
        "authorized_official_last_name": "FLEMING",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "DANG",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "703-304-7082",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.Luminello.com",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1350 Connecticut Ave NW Ste 307",
            "city": "Washington",
            "state": "DC",
            "country_code": "US",
            "postal_code": "200361738",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jan 23, 2020; 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.