Active NPI
Anne Laybourne Kendall, PH.D.
- Psychologist
- Washington, DC
National Provider Identifier
1679791164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 1468
- Practice address
- 5247 Wisconsin Ave NW
Suite 4
Washington, DC 20015-2012 - Phone
- (202) 686-7699
- Fax
- (202) 362-9633
- NPI assigned
- Apr 23, 2007
- Last updated
- Jul 8, 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 | 1468 | DC | Primary |
Addresses
Primary practice location
5247 Wisconsin Ave NW
Suite 4
Washington, DC 20015-2012
Mailing address
5247 Wisconsin Ave NW
Suite 4
Washington, DC 20015-2012
Phone (202) 686-7699
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 20, 2017 through Feb 20, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1468 | DC | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Wake Kendall Group, PLLC | Psychologist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Psychologist
- Washington, DC
- NPI 1144465816
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1679791164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5247 WISCONSIN AVE NW",
"address_2": "SUITE 4",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200152012",
"telephone_number": "202-686-7699",
"fax_number": "202-362-9633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5247 WISCONSIN AVE NW",
"address_2": "SUITE 4",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200152012",
"telephone_number": "202-686-7699",
"fax_number": "202-362-9633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENDALL",
"first_name": "ANNE",
"middle_name": "LAYBOURNE",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "DC",
"license": "1468",
"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 Jul 8, 2007; 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.