Organization Active NPI

Nisha Gopal, PSYD, PLLC

  • Clinical Psychologist
  • Washington, DC
National Provider Identifier
1659797561
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY1000854 Issued in DC
Legal business name
NISHA GOPAL, PSYD, PLLC
Practice address
5100 Wisconsin Ave NW Ste 300
Washington, DC 20016-4130
Phone
(202) 446-6086
NPI assigned
Mar 16, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

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

Authorized official

Name
Dr. Nisha Gopal, PSY.D.NPI 1861555211
Title
Member
Phone
(202) 446-6086

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)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PSY1000854 DC Primary

Addresses

Primary practice location

5100 Wisconsin Ave NW Ste 300
Washington, DC 20016-4130

Mailing address

5100 Wisconsin Ave NW Ste 300
Washington, DC 20016-4130
Phone (202) 446-6086

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1394928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698192000000",
    "number": "1659797561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 WISCONSIN AVE NW STE 300",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200164130",
            "telephone_number": "202-446-6086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 WISCONSIN AVE NW STE 300",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200164130",
            "telephone_number": "202-446-6086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NISHA GOPAL, PSYD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-16",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A",
        "authorized_official_last_name": "GOPAL",
        "authorized_official_first_name": "NISHA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "202-446-6086",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "DC",
            "license": "PSY1000854",
            "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 Oct 25, 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.

Verify at the official NPI Registry.