Active NPI
Yaphet Bryant
- Clinical Child & Adolescent Psychologist
- Washington, DC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- License
- PSY1000600
- Practice address
- 111 Michigan Ave NW
Suite 4207 Adolescent Office Main BLDG.
Washington, DC 20010 - Phone
- (202) 476-4222
- Fax
- (202) 476-4760
- NPI assigned
- Feb 14, 2008
- Last updated
- Oct 31, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Child & Adolescent Psychologist | 103TC2200X | PSY1000600 | DC | Primary |
Addresses
Primary practice location
111 Michigan Ave NW
Suite 4207 Adolescent Office Main BLDG.
Washington, DC 20010
Mailing address
111 Michigan Ave NW
Suite 4207 Adolescent Office Main BLDG.
Washington, DC 20010
Phone (202) 476-4222
Other practice location 1
1350 Connecticut Ave NW
Washington, DC 20036-1722
Phone (415) 658-6791
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1001 G St NW
Suite 200E
Washington, DC 20001-4546
Phone (202) 660-0005
601 New Jersey Ave NW
Suite 200
Washington, DC 20001-3030
Phone (202) 660-0005
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY1000600 | DC | MD | Clinical Child & Adolescent Psychologist |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Washington, DC
- NPI 1417571530
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730332800000",
"number": "1760650568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 MICHIGAN AVE NW",
"address_2": "SUITE 4207 ADOLESCENT OFFICE MAIN BLDG.",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "20010",
"telephone_number": "202-476-4222",
"fax_number": "202-476-4760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 MICHIGAN AVE NW",
"address_2": "SUITE 4207 ADOLESCENT OFFICE MAIN BLDG.",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "20010",
"telephone_number": "202-476-4222",
"fax_number": "202-476-4760"
}
],
"practiceLocations": [
{
"address_1": "1350 Connecticut Ave NW",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200361722",
"country_code": "US",
"telephone_number": "415-658-6791",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRYANT",
"first_name": "YAPHET",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-14",
"last_updated": "2024-10-31",
"certification_date": "2024-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "DC",
"license": "PSY1000600",
"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 Oct 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.