Active NPI
Natalie Deanne Sergent, PSY.D.
- Psychologist
- Washington, DC
National Provider Identifier
1912451048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY20000037
- Practice address
- 4801 Sargent Rd NE
Washington, DC 20017-2841 - Phone
- (202) 650-6361
- Fax
- (202) 250-6362
- NPI assigned
- Aug 5, 2016
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY20000037 | DC | Primary |
| Psychologist | 103T00000X | 6702 | MD | |
| Psychologist | 103T00000X | 9502332-2501 | UT | |
| Psychologist | 103T00000X | 810007585 | VA |
Addresses
Primary practice location
4801 Sargent Rd NE
Washington, DC 20017-2841
Mailing address
4801 Sargent Rd NE
Washington, DC 20017-2841
Phone (202) 650-6361
Other practice location 1
10750 Columbia Pike Ste 502
Silver Spring, MD 20901-4460
Phone (202) 650-6361
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY20000037 | DC | MD | Psychologist |
| 6702 | MD | MD | Psychologist |
| 9502332-2501 | UT | MD | Psychologist |
| 810007585 | VA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470355200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678233600000",
"number": "1912451048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4801 SARGENT RD NE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200172841",
"telephone_number": "202-650-6361",
"fax_number": "202-250-6362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4801 SARGENT RD NE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200172841",
"telephone_number": "202-650-6361",
"fax_number": "202-250-6362"
}
],
"practiceLocations": [
{
"address_1": "10750 Columbia Pike Ste 502",
"address_purpose": "LOCATION",
"city": "Silver Spring",
"state": "MD",
"postal_code": "209014460",
"country_code": "US",
"telephone_number": "202-650-6361",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SERGENT",
"first_name": "NATALIE",
"middle_name": "DEANNE",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-05",
"last_updated": "2023-03-08",
"certification_date": "2023-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "DC",
"license": "PSY20000037",
"primary": true
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MD",
"license": "6702",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "UT",
"license": "9502332-2501",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "VA",
"license": "810007585",
"primary": false
}
],
"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 Mar 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.