Individual provider Active NPI

Iman Ollie Hypolite, MD

  • Child & Adolescent Psychiatry Physician
  • Chevy Chase, MD
National Provider Identifier
1861514689
Registry record updated Nov 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
D0066202 Issued in MD
Practice address
5530 Wisconsin Ave Ste 802
Chevy Chase, MD 20815-4462
Phone
(240) 401-9474
Fax
(240) 491-5982
NPI assigned
Apr 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2010

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X D0066202 MD Primary
Psychiatry Physician 2084P0800X D0066202 MD
Child & Adolescent Psychiatry Physician 2084P0804X MD038455 DC
Psychiatry Physician 2084P0800X MD038455 DC

Addresses

Primary practice location

5530 Wisconsin Ave Ste 802
Chevy Chase, MD 20815-4462

Mailing address

4938 Hampden LN # 207
Bethesda, MD 20814-2914
Phone (240) 401-9474

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 Medicine

State licenses

LicenseStateTypeSpecialty
MD038455DCMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290038400000",
    "number": "1861514689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4938 HAMPDEN LN # 207",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208142914",
            "telephone_number": "240-401-9474",
            "fax_number": "240-491-5982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5530 WISCONSIN AVE STE 802",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208154462",
            "telephone_number": "240-401-9474",
            "fax_number": "240-491-5982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYPOLITE",
        "first_name": "IMAN",
        "middle_name": "OLLIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-04",
        "last_updated": "2010-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "MD",
            "license": "D0066202",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D0066202",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "DC",
            "license": "MD038455",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "DC",
            "license": "MD038455",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chevy Chase, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2010; 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.