Active NPI
Fonthill Behavioral Health, LLP
- Clinical Psychologist
- Washington, DC
National Provider Identifier
1811313919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1000770
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1000770 | DC | Primary |
| Registered Dietitian | 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 DirectoryLocations
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.