Active NPI
Donna Lucile Edison, D.O.
- Child & Adolescent Psychiatry Physician
- Washington, DC
National Provider Identifier
1790964831
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- H42167
- Practice address
- Wramc BLDG 6, Department of Psychiatry
6900 Georgia Ave NW
Washington, DC 20307-0001 - Phone
- (202) 782-6275
- NPI assigned
- Oct 25, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | H42167 | MD | Primary |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 20A5219 (INACTIVE) | CA |
Addresses
Primary practice location
Wramc BLDG 6, Department of Psychiatry
6900 Georgia Ave NW
Washington, DC 20307-0001
Mailing address
Wramc BLDG 2, Room 2J38
6900 Georgia Ave. NW
Washington, DC 20307-0001
Phone (202) 782-6195
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)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A5219 (INACTIVE) | CA | MD | Child & Adolescent Psychiatry Physician |
| H42167 | MD | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Pathways Therapeutic Services, Inc. | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Lanham, MD
- NPI 1144429291
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1790964831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "WRAMC BLDG 2, ROOM 2J38",
"address_2": "6900 GEORGIA AVE. NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "203070001",
"telephone_number": "202-782-6195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "WRAMC BLDG 6, DEPARTMENT OF PSYCHIATRY",
"address_2": "6900 GEORGIA AVE NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "203070001",
"telephone_number": "202-782-6275"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDISON",
"first_name": "DONNA",
"middle_name": "LUCILE",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-25",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "MD",
"license": "H42167",
"primary": true
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "CA",
"license": "20A5219 (INACTIVE)",
"primary": false
}
],
"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 Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.