Robert Mitchell Gavin, PHD, (ABD),

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PRC-1218 Issued in DC

Practice address

1218 Perry St NE
G-1
Washington, DC 20017-2550

Phone

(202) 832-8403

Fax

(202) 832-8403

NPI assigned

May 12, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 8

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1242086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242086400000",
    "number": "1891929360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1218 PERRY ST NE",
            "address_2": "G-1",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200172550",
            "telephone_number": "202-832-8403",
            "fax_number": "202-832-8403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1218 PERRY ST NE",
            "address_2": "G-1",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200172550",
            "telephone_number": "202-832-8403",
            "fax_number": "202-832-8403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAVIN",
        "first_name": "ROBERT",
        "middle_name": "MITCHELL",
        "name_prefix": "Dr.",
        "credential": "PHD, (ABD),",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-05-12",
        "last_updated": "2009-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "DC",
            "license": "PRC-1218",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "DC",
            "license": "M1220-2005",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "DC",
            "license": "203292",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "DC",
            "license": "013305",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "DC",
            "license": "PRC1218",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "DC",
            "license": "PRC-1218",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "DC",
            "license": "6731",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "DC",
            "license": "6731",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dipa Gautam, NURSE PRACTITIONER
• Lauren Z Gavaris, M.D.
• Paul T Gavaris, MD
• Chian M Gavin, LICSW
• Destini Gavin
• Hemanth K Gavini, MD
• Siobhan Gavins, LPC
• Antonia Gaviria Rozo, PA-C
• David Andres Gaviria-Munoz, L.P.C
• Susana Gaviria, MD

• Professional Counselor in Washington, DC
• Providers in Washington, DC by specialty
• Professional Counselor in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2009; 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.