Active NPI
Angela Denise Jefferson
- School Psychologist
- Washington, DC
National Provider Identifier
1891122982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- Practice address
- 1200 1St St NE
Washington, DC 20002-3361 - Phone
- (202) 442-4800
- NPI assigned
- Oct 3, 2013
- Reactivated
- Sep 27, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | DC | Primary |
Addresses
Primary practice location
1200 1St St NE
Washington, DC 20002-3361
Mailing address
6420 Symposium Way
Clinton, MD 20735-3862
Phone (301) 868-0516
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538006400000",
"number": "1891122982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6420 SYMPOSIUM WAY",
"city": "CLINTON",
"state": "MD",
"postal_code": "207353862",
"telephone_number": "301-868-0516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 1ST ST NE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200023361",
"telephone_number": "202-442-4800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEFFERSON",
"first_name": "ANGELA",
"middle_name": "DENISE",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-10-03",
"last_updated": "2018-09-27",
"deactivation_date": "2018-03-02",
"reactivation_date": "2018-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "DC",
"license": null,
"primary": true
}
],
"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 Sep 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.