Pediatric AIDS HIV Care Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

PEDIATRIC AIDS HIV CARE INC

Practice address

450 M St NW
Washington, DC 20001-4606

Phone

(202) 347-5366

Fax

(202) 621-3082

NPI assigned

Jun 27, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Derek Kelly Orr, MPA

Title

Executive Director

Phone

(202) 347-5366

Specialties & licenses 1

Addresses

Tax ID family

Pediatric AIDS HIV Care2 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.

• Pediatric AIDS HIV Care

  • Mental Health Counselor
  • Washington, DC
  • NPI 1104095991
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Cindy Mijung Kim, M.S., L.I.C.S.W.

  • Clinical Social Worker
  • Washington, DC
  • NPI 1952475543
  NPD (past)

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720285414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 77543",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200138543",
            "telephone_number": "202-347-5366",
            "fax_number": "202-621-3082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 M ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200014606",
            "telephone_number": "202-347-5366",
            "fax_number": "202-621-3082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC AIDS HIV CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ORR",
        "authorized_official_first_name": "DEREK",
        "authorized_official_middle_name": "KELLY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "202-347-5366",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPA"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin Wynne Peck, MD
• Torri Peck, MD
• Vincent Alexander Pecora, BA
• Megan Marie Pedersen
• Pediatric AIDS HIV Care
• Pediatric Professionals, PC
• Yves Pedji
• Leah Pedoeim
• Katherine Elizabeth Pedrick, LGPC
• Roger Ray Peebles Jr., DO

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.