Miriam Beadle, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY1000047 Issued in DC

Legal business name

MIRIAM BEADLE, PH.D.

Practice address

3000 Connecticut Ave NW
Suite #136
Washington, DC 20008-2509

Phone

(202) 536-5602

NPI assigned

Aug 7, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Carla Smith

Title

Office Manager

Phone

(202) 536-5602

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Miriam E Beadle, PH.D

  • Clinical Neuropsychologist
  • Washington, DC
  • NPI 1669445821
  NPD (past)

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203379200000",
    "number": "1619168366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 638",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210450638",
            "telephone_number": "202-536-5602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 CONNECTICUT AVE NW",
            "address_2": "SUITE #136",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200082509",
            "telephone_number": "202-536-5602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRIAM BEADLE, PH.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-07",
        "last_updated": "2008-02-19",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "CARLA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "202-536-5602",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "DC",
            "license": "PSY1000047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dominick C Mirando, D.C.
• Jeannine Miranne, MD
• Hallie Ann Mircoff
• Augustine Owusu Mireku-Boateng, M.D.
• Nicole Ingrid Mires, L.AC.
• Miriam Nest Home Care LLC
• Miriam'S Kitchen
• Harold Mirsky, M.D.
• Huma Mirza, M.D.
• Nazrat Mirza, MD

• All providers in Washington, DC
• Clinical Psychologist in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2008; 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.