Active NPI
The Ludic Group
- Clinical Psychologist
- Washington, DC
National Provider Identifier
1609406248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Matthew Dang Fleming, PSYD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.Luminello.com | Health Information Exchange (HIE) |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Mental Health Counselor
- Washington, DC
- NPI 1194846105
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.