Active NPI
Charrise Hipol, PSY.D.
- Clinical Psychologist
- Washington, DC
National Provider Identifier
1710248406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1000695
- Practice address
- 4400 Massachusetts Ave NW
Mary Graydon 214
Washington, DC 20016-8001 - Phone
- (720) 254-5080
- NPI assigned
- May 30, 2012
- Sex
- Female
- 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 Psychologist | 103TC0700X | 1000695 | DC | Primary |
| Clinical Psychologist | 103TC0700X | 0810004334 | VA |
Addresses
Primary practice location
4400 Massachusetts Ave NW
Mary Graydon 214
Washington, DC 20016-8001
Mailing address
4400 Massachusetts Ave NW
Mary Graydon 214
Washington, DC 20016-8001
Phone (720) 254-5080
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 |
|---|---|---|---|
| 1000695 | DC | MD | Clinical Psychologist |
| 0810004334 | VA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338336000000",
"number": "1710248406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4400 MASSACHUSETTS AVE NW",
"address_2": "MARY GRAYDON 214",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200168001",
"telephone_number": "720-254-5080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4400 MASSACHUSETTS AVE NW",
"address_2": "MARY GRAYDON 214",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200168001",
"telephone_number": "720-254-5080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIPOL",
"first_name": "CHARRISE",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-05-30",
"last_updated": "2012-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "DC",
"license": "1000695",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "0810004334",
"primary": false
}
],
"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 May 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.