Active NPI
Wanda Collins
- Psychologist
- Washington, DC
National Provider Identifier
1629274766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY1000148
- Practice address
- 4400 Massachusetts Ave NW
MGC 214
Washington, DC 20016-8001 - Phone
- (202) 885-3500
- Fax
- (202) 885-1397
- NPI assigned
- Jun 25, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY1000148 | DC | Primary |
Addresses
Primary practice location
4400 Massachusetts Ave NW
MGC 214
Washington, DC 20016-8001
Mailing address
4400 Massachusetts Ave NW
MGC 214
Washington, DC 20016-8001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 21, 2025 through Jul 21, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY1000148 | DC | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289520000000",
"number": "1629274766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4400 MASSACHUSETTS AVE NW",
"address_2": "MGC 214",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200168001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4400 MASSACHUSETTS AVE NW",
"address_2": "MGC 214",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200168001",
"telephone_number": "202-885-3500",
"fax_number": "202-885-1397"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "WANDA",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-25",
"last_updated": "2010-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "DC",
"license": "PSY1000148",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Nov 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.