Individual provider Active NPI

Sidney Walter Binks III, PH.D.

Clinical Neuropsychologist
Washington, DC

National Provider Identifier

1841371291

Registry record updated Dec 7, 2018

On this page

Key facts
NPPES NPI Registry
Medicare participation
Care Compare profile
National Provider Directory
NPI Registry JSON
Other providers in Washington, DC
Sources for this page

Key facts

NPPES NPI Registry

Primary specialty: Clinical NeuropsychologistTaxonomy code 103G00000X
License: PSY1773 Issued in DC
Practice address: 3000 Connecticut Ave NW
Ste 238
Washington, DC 20008-2531
Phone: (202) 255-5187
Fax: (202) 234-6373
NPI assigned: Oct 18, 2006
Last updated: Dec 7, 2018By the provider in NPPES
Sex: Male
Sole proprietor: Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2018

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

Specialties & licenses 15

Specialty (taxonomy)	Code	License	State	Primary
Clinical Neuropsychologist	103G00000X	03064	MD
Clinical Neuropsychologist	103G00000X	PSY1773	DC	Primary
Psychologist	103T00000X	PSY1773	DC
Psychologist	103T00000X	03064	MD
Clinical Psychologist	103TC0700X	PSY1773	DC
Clinical Psychologist	103TC0700X	03064	MD
Forensic Psychologist	103TF0200X	PSY1773	DC
Forensic Psychologist	103TF0200X	03064	MD
Health Service Psychologist	103TH0100X	PSY1773	DC
Health Service Psychologist	103TH0100X	03064	MD
Intellectual & Developmental Disabilities Psychologist	103TM1800X	PSY1773	DC
Intellectual & Developmental Disabilities Psychologist	103TM1800X	03064	MD
Group Psychotherapy Psychologist	103TP2701X	PSY1773	DC
Group Psychotherapy Psychologist	103TP2701X	03064	MD
Rehabilitation Psychologist	103TR0400X	PSY1773	DC

Addresses

Primary practice location

3000 Connecticut Ave NW
Ste 238
Washington, DC 20008-2531

Mailing address

3000 Connecticut Ave NW
Ste 238
Washington, DC 20008-2531
Phone (202) 255-5187

Other identifiers 2

Identifier	Type	State	Issuer
PSY1773	Other	DC	STATE LICENSE NUMBER
03064	Other	MD	MARYLAND LICENSE #

Medicare participation

Medicare enrollment files

Medicare fee-for-service enrollment

Enrolled in DC

Eligible to order & refer

Part B services: Yes
Medical equipment: Yes
Home health: No
Power mobility devices: No
Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Enrollment ID	State	Provider type	PAC ID	Details
I20100914000384	DC	Practitioner - Clinical Psychologist	3971628025	Practice locations: Washington, DC

Care Compare profile

Medicare Care Compare

Specialty: Clinical Psychologist
Education: Other, 1992
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Telehealth: Offers telehealth services

Practice addresses (Care Compare)

3000 Connecticut Ave NW
Suite 238
Washington, DC 20008-2531
Phone (202) 255-5187

National Provider Directory

Medicare enrollment (NPD): Enrolled
Credentials: Doctor of Philosophy

State licenses

License	State	Type	Specialty
PSY1773	DC	MD	Psychologist
03064	MD	MD	Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544140800000",
    "number": "1841371291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 CONNECTICUT AVE NW",
            "address_2": "STE 238",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200082531",
            "telephone_number": "202-255-5187",
            "fax_number": "202-234-6373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 CONNECTICUT AVE NW",
            "address_2": "STE 238",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200082531",
            "telephone_number": "202-255-5187",
            "fax_number": "202-234-6373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BINKS",
        "first_name": "SIDNEY",
        "middle_name": "WALTER",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2018-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "MD",
            "license": "03064",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "DC",
            "license": "PSY1773",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "DC",
            "license": "PSY1773",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MD",
            "license": "03064",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "DC",
            "license": "PSY1773",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "03064",
            "primary": false
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "DC",
            "license": "PSY1773",
            "primary": false
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "MD",
            "license": "03064",
            "primary": false
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "DC",
            "license": "PSY1773",
            "primary": false
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "MD",
            "license": "03064",
            "primary": false
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "DC",
            "license": "PSY1773",
            "primary": false
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "MD",
            "license": "03064",
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "DC",
            "license": "PSY1773",
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "MD",
            "license": "03064",
            "primary": false
        },
        {
            "code": "103TR0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Rehabilitation",
            "state": "DC",
            "license": "PSY1773",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "PSY1773",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARYLAND LICENSE #",
            "identifier": "03064",
            "state": "MD"
        }
    ],
    "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 Dec 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.