NPIMap

Organization Active NPI

Psi Services 111 Inc.

  • Developmentally Disabled Services Day Training Agency
  • Washington, DC
National Provider Identifier
1780055186
Registry record updated Oct 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
CR#1179560 Issued in DC
Legal business name
PSI SERVICES 111 INC.
Practice address
770 M St SE
Washington, DC 20003-3609
Phone
(202) 547-3870
Fax
(202) 546-9642
NPI assigned
Oct 12, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2015

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

Authorized official

Name
Dr. Yvonne Brunton Ali, PH.D.
Title
President
Phone
(202) 547-3870

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X CR#1179560 DC Primary

Addresses

Primary practice location

770 M St SE
Washington, DC 20003-3609

Mailing address

770 M St SE
Washington, DC 20003-3609
Phone (202) 547-3870

Other identifiers 1

IdentifierTypeStateIssuer
055898500MedicaidDC

National Provider Directory

National Provider Directory
Tax ID family
Psi Services III Inc12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1444608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444608000000",
    "number": "1780055186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 M ST SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200033609",
            "telephone_number": "202-547-3870",
            "fax_number": "202-546-9642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 M ST SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200033609",
            "telephone_number": "202-547-3870",
            "fax_number": "202-546-9642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSI SERVICES 111 INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-12",
        "last_updated": "2015-10-12",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "YVONNE",
        "authorized_official_middle_name": "BRUNTON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "202-547-3870",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "DC",
            "license": "CR#1179560",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "055898500",
            "state": "DC"
        }
    ],
    "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 12, 2015; 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.