Active NPI
Joseph Philip Gorin, PSY.D.
- Psychologist
- Washington, DC
National Provider Identifier
1659710069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY 1715
- Practice address
- 2607 Connecticut Ave NW
Washington, DC 20008-1522 - Phone
- (202) 518-5900
- Fax
- (202) 518-5900
- NPI assigned
- Jun 19, 2013
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | PSY 1715 | DC | |
| Psychologist | 103T00000X | PSY 1715 | DC | Primary |
Addresses
Primary practice location
2607 Connecticut Ave NW
Washington, DC 20008-1522
Mailing address
2607 Connecticut Ave. NW
Washington, DC 20008
Phone (202) 518-5900
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 1715 | DC | MD | Clinical Neuropsychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371600000000",
"number": "1659710069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2607 CONNECTICUT AVE. NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "20008",
"telephone_number": "202-518-5900",
"fax_number": "202-518-5900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2607 CONNECTICUT AVE NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200081522",
"telephone_number": "202-518-5900",
"fax_number": "202-518-5900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORIN",
"first_name": "JOSEPH",
"middle_name": "PHILIP",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-06-19",
"last_updated": "2013-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "DC",
"license": "PSY 1715",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "DC",
"license": "PSY 1715",
"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 Jun 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.