Michael Radkowsky, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1000053 Issued in DC

Practice address

3000 Connecticut Avenue, NW
Suite 137
Washington, DC 20008-2549

Phone

(202) 234-3278

NPI assigned

May 1, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493683200000",
    "number": "1821219643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 CONNECTICUT AVENUE, NW",
            "address_2": "STE 439",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200082549",
            "telephone_number": "202-234-3278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 CONNECTICUT AVENUE, NW",
            "address_2": "SUITE 137",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200082549",
            "telephone_number": "202-234-3278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADKOWSKY",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-01",
        "last_updated": "2017-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "DC",
            "license": "1000053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "52-2109946",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHOLOGY LICENSE",
            "identifier": "1000053",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Radiation Oncology Associates of Washington, PC
• Sophia Radich, LGSW
• Matthew Charles Radimer, M.D.
• Ximena Radjenovic, PH.D.
• Pejman Radkani, M.D.
• Lisa Radley, DPT, CSCS
• Mary Elizabeth Radley, MD
• Steven J. Radley, M.D.
• Alexandra D Radomsky, LICSW
• Sarah Radonic

• Clinical Psychologist in Washington, DC
• Providers in Washington, DC by specialty
• Clinical Psychologist in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2017; 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.