Active NPI
Iman Ollie Hypolite, MD
- Child & Adolescent Psychiatry Physician
- Chevy Chase, MD
National Provider Identifier
1861514689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- D0066202
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| MD038455 | DC | MD | Psychiatry 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.