Individual provider Active NPI

Michael Brachfeld

  • Psychologist
  • Washington, DC
National Provider Identifier
1710469762
Registry record updated May 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY1001532 Issued in DC
Practice address
2115 Wisconsin Ave NW Ste 200
Washington, DC 20007-2265
Phone
(202) 669-8250
NPI assigned
Sep 5, 2018
Last updated
May 5, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 06175 MD
Psychologist 103T00000X 6301017550 MI
Psychologist 103T00000X PSY1001532 DC Primary

Addresses

Primary practice location

2115 Wisconsin Ave NW Ste 200
Washington, DC 20007-2265

Mailing address

2115 Wisconsin Ave NW Ste 200
Washington, DC 20007-2265
Phone (202) 669-8250

Other practice location 1

8101 River Falls Dr
Potomac, MD 20854-3840
Phone (202) 669-8250

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200505001219 DC Practitioner - Clinical Psychologist 7517398613 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
06175MDMDPsychologist
6301017550MIMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Medical Group II LLC CurrentSince Jun 1, 2025 Accepting new patients
MGMC LLC CurrentSince Mar 1, 2020 Accepting new patients
Medstar Medical Group II LLC CurrentSince Mar 1, 2020 Accepting new patients
Medstar Medical Group II LLC CurrentSince Jun 1, 2025 Accepting new patients
MGMC, LLC Current Accepting new patients

Locations

1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401

2115 Wisconsin Ave NW
Washington, DC 20007
Phone (202) 444-8531

2115 Wisconsin Ave NW
Fl 200
Washington, DC 20007

2115 Wisconsin Ave NW
Ste 200
Washington, DC 20007
Phone (202) 944-5400

3800 Reservoir Rd NW
Washington, DC 20007
Phone (202) 687-2203

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1536105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588636800000",
    "number": "1710469762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 WISCONSIN AVE NW STE 200",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200072265",
            "telephone_number": "202-669-8250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 WISCONSIN AVE NW STE 200",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200072265",
            "telephone_number": "202-669-8250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8101 River Falls Dr",
            "address_purpose": "LOCATION",
            "city": "Potomac",
            "state": "MD",
            "postal_code": "208543840",
            "country_code": "US",
            "telephone_number": "202-669-8250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRACHFELD",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-05",
        "last_updated": "2020-05-05",
        "certification_date": "2020-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MD",
            "license": "06175",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301017550",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "DC",
            "license": "PSY1001532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.