NPIMap

Organization Active NPI

Andromeda Transcultural Health

Doing business as Andromeda Inc

  • Psychiatry Physician
  • Washington, DC
National Provider Identifier
1669549192
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD036433 Issued in DC
Legal business name
ANDROMEDA TRANSCULTURAL HEALTH
Doing business as
Andromeda Inc
Practice address
1400 Decatur St NW
Washington, DC 20011-4343
Phone
(202) 291-4707
Fax
(202) 723-4560
NPI assigned
Nov 29, 2006
Last updated
Jun 16, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Dr. Alvaro Guzman, M.D.NPI 1568524668
Title
Executive Director
Phone
(202) 291-4707

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X DI100000775 DC
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X D0069798 DC
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Behavioral Neurology & Neuropsychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084B0040X
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X MD036433 DC Primary
Clinic/Center 261Q00000X
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X R185465 DC

Addresses

Primary practice location

1400 Decatur St NW
Washington, DC 20011-4343

Mailing address

1400 Decatur St NW
Washington, DC 20011-4343
Phone (202) 291-4707

Other identifiers 6

IdentifierTypeStateIssuer
060850700MedicaidDC
086232900MedicaidDC
7420133OtherDCAETNA
037625600MedicaidDC
0168504OtherDCUNITED HEALTH CARE
5840OtherDCBCBS

Other names 2

  • ANDROMEDA INC Doing business as
  • ANDROMEDA TRANSCULTURAL HEALTH Former legal business name

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1669549192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 DECATUR ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200114343",
            "telephone_number": "202-291-4707",
            "fax_number": "202-723-4560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 DECATUR ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200114343",
            "telephone_number": "202-291-4707",
            "fax_number": "202-723-4560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDROMEDA TRANSCULTURAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "GUZMAN",
        "authorized_official_first_name": "ALVARO",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "202-291-4707",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "DC",
            "license": "DI100000775",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "DC",
            "license": "D0069798",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084B0040X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "DC",
            "license": "MD036433",
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "DC",
            "license": "R185465",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "060850700",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "086232900",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7420133",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "037625600",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "0168504",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5840",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ANDROMEDA INC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ANDROMEDA TRANSCULTURAL HEALTH",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "ANDROMEDA TRANSCULTURAL HEALTH",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 16, 2018; 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.