Active NPI
Brandy Michell Fayemi Hicks, MS
- Psychologist
- Washington, DC
National Provider Identifier
1639879513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSYA200001394
- Practice address
- 4130 Hunt PL NE
Washington, DC 20019-3565 - Phone
- (202) 388-4300
- NPI assigned
- Mar 8, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Psychologist | 103T00000X | PSYA200001394 | DC | Primary |
Addresses
Primary practice location
4130 Hunt PL NE
Washington, DC 20019-3565
Mailing address
3421 Brothers PL SE Apt 201
Washington, DC 20032-1583
Phone (202) 749-6104
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSYA200001394 | DC | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702252800000",
"number": "1639879513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3421 BROTHERS PL SE APT 201",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200321583",
"telephone_number": "202-749-6104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4130 HUNT PL NE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200193565",
"telephone_number": "202-388-4300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HICKS",
"first_name": "BRANDY",
"middle_name": "MICHELL FAYEMI",
"credential": "MS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-03-08",
"last_updated": "2023-12-11",
"certification_date": "2023-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "DC",
"license": "PSYA200001394",
"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 Dec 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.