Individual provider Active NPI

Ronald Lee Shectman, PH.D.

  • Clinical Psychologist
  • Washington, DC
National Provider Identifier
1730270976
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY608 Issued in DC
Practice address
818 18TH St NW
Lower Level 18
Washington, DC 20006-3513
Phone
(202) 785-7811
Fax
(202) 785-5881
NPI assigned
Sep 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY608 DC Primary

Addresses

Primary practice location

818 18TH St NW
Lower Level 18
Washington, DC 20006-3513

Mailing address

818 18TH St NW
Lower Level 18
Washington, DC 20006-3513
Phone (202) 785-7811

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY608DCMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Pathways to Psychological Strength and Well-Being Clinical Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730270976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 18TH ST NW",
            "address_2": "LOWER LEVEL 18",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200063513",
            "telephone_number": "202-785-7811",
            "fax_number": "202-785-5881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 18TH ST NW",
            "address_2": "LOWER LEVEL 18",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200063513",
            "telephone_number": "202-785-7811",
            "fax_number": "202-785-5881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHECTMAN",
        "first_name": "RONALD",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "DC",
            "license": "PSY608",
            "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 8, 2007; 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.