Organization Active NPI

Michael G. Golder, MD, PLLC

  • Adult Mental Health Clinic/Center
  • Washington, DC
National Provider Identifier
1720217508
Registry record updated Jul 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
21471 Issued in DC
Legal business name
MICHAEL G. GOLDER, MD, PLLC
Practice address
5335 Wisconsin Ave NW
Ste 440
Washington, DC 20015-2030
Phone
(202) 379-4650
Fax
(202) 370-7173
NPI assigned
Jul 14, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2009

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

Authorized official

Name
Dr. Michael Golder, M.D.
Title
Owner
Phone
(202) 379-4650

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 21471 DC Primary

Addresses

Primary practice location

5335 Wisconsin Ave NW
Ste 440
Washington, DC 20015-2030

Mailing address

5335 Wisconsin Ave NW
Ste 440
Washington, DC 20015-2030
Phone (202) 379-4650

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1247529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247529600000",
    "number": "1720217508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5335 WISCONSIN AVE NW",
            "address_2": "STE 440",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200152030",
            "telephone_number": "202-379-4650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5335 WISCONSIN AVE NW",
            "address_2": "STE 440",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200152030",
            "telephone_number": "202-379-4650",
            "fax_number": "202-370-7173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL G. GOLDER, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-14",
        "last_updated": "2009-07-14",
        "status": "A",
        "authorized_official_last_name": "GOLDER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-379-4650",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "DC",
            "license": "21471",
            "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 14, 2009; 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.