Organization Active NPI

Fonthill Behavioral Health, LLP

  • Clinical Psychologist
  • Washington, DC
National Provider Identifier
1811313919
Registry record updated Mar 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1000770 Issued in DC
Legal business name
FONTHILL BEHAVIORAL HEALTH, LLP
Practice address
1101 17TH St NW
#530
Washington, DC 20036-4704
Phone
(240) 271-1727
NPI assigned
Mar 13, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2014

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

Authorized official

Name
Dr. Joanna Marie Marino, PHD
Title
Coo
Phone
(240) 271-1727

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 1000770 DC Primary
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X

Addresses

Primary practice location

1101 17TH St NW
#530
Washington, DC 20036-4704

Mailing address

1101 17TH St NW Ste 530
Washington, DC 20036-4746
Phone (240) 271-1727

National Provider Directory

National Provider Directory

Locations

1101 17th St NW
Ste 530
Washington, DC 20036
Phone (240) 271-1727

NPI Registry JSON

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

{
    "created_epoch": "1394668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394668800000",
    "number": "1811313919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 17TH ST NW STE 530",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200364746",
            "telephone_number": "240-271-1727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 17TH ST NW",
            "address_2": "#530",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200364704",
            "telephone_number": "240-271-1727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FONTHILL BEHAVIORAL HEALTH, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-13",
        "last_updated": "2014-03-13",
        "status": "A",
        "authorized_official_last_name": "MARINO",
        "authorized_official_first_name": "JOANNA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "240-271-1727",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "DC",
            "license": "1000770",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "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 13, 2014; 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.