The People'S Choice Behavioral & Health Care Center, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY1835 Issued in DC

Legal business name

THE PEOPLE'S CHOICE BEHAVIORAL & HEALTH CARE CENTER, LLC

Practice address

2918 Minnesota Ave SE
Washington, DC 20019-1127

Phone

(202) 629-2964

Fax

(877) 735-1149

NPI assigned

Apr 24, 2013

Organization subpart

No

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

Authorized official

Name

Ometha O Lewis-Jack, PHD

Title

Chief Clinical Director

Phone

(202) 629-2964

Specialties & licenses 4

Addresses

Tax ID family

The People'S Choice Behavioral Health Care Center LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• The People'S Choice Behavioral & Health Care Center LLC

  • Clinical Psychologist
  • Washington, DC
  • NPI 1427492560
  NPD tax ID

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

{
    "created_epoch": "1366761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366761600000",
    "number": "1689018368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2918 MINNESOTA AVE SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200191127",
            "telephone_number": "202-629-2964",
            "fax_number": "877-735-1149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2918 MINNESOTA AVE SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200191127",
            "telephone_number": "202-629-2964",
            "fax_number": "877-735-1149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PEOPLE'S CHOICE BEHAVIORAL & HEALTH CARE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-24",
        "last_updated": "2013-04-24",
        "status": "A",
        "authorized_official_last_name": "LEWIS-JACK",
        "authorized_official_first_name": "OMETHA",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "CHIEF CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "202-629-2964",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "DC",
            "license": "PSY1835",
            "primary": true
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Family",
            "state": "DC",
            "license": "PSY1835",
            "primary": false
        },
        {
            "code": "103TP0814X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Psychoanalysis",
            "state": "DC",
            "license": "PSY1835",
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "DC",
            "license": "PSY1835",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Washington, DC
• Providers in Washington, DC by specialty
• Clinical Psychologist in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.

Verify at the official NPI Registry.