Organization Active NPI

Metropolitan Behavioral Health Care, LLC

  • Clinical Psychologist
  • Washington, DC
National Provider Identifier
1932389723
Registry record updated Nov 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSYC826 Issued in DC
Legal business name
METROPOLITAN BEHAVIORAL HEALTH CARE, LLC
Practice address
910 17TH St NW
Suite 306
Washington, DC 20006-2601
Phone
(202) 452-6257
Fax
(202) 530-0744
NPI assigned
Nov 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2007

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

Authorized official

Name
Dr. Ronald Lee Kimball, PHD
Title
Owner
Phone
(202) 452-6257

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PSYC826 DC Primary

Addresses

Primary practice location

910 17TH St NW
Suite 306
Washington, DC 20006-2601

Mailing address

8811 Colesville Rd
Suite 104
Silver Spring, MD 20910-4343
Phone (301) 585-5539

National Provider Directory

National Provider Directory

Locations

8811 Colesville Rd
Ste 104
Silver Spring, MD 20910
Phone (301) 585-6126

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1194480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194480000000",
    "number": "1932389723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8811 COLESVILLE RD",
            "address_2": "SUITE 104",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209104343",
            "telephone_number": "301-585-5539",
            "fax_number": "301-587-4327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 17TH ST NW",
            "address_2": "SUITE 306",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200062601",
            "telephone_number": "202-452-6257",
            "fax_number": "202-530-0744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROPOLITAN BEHAVIORAL HEALTH CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-08",
        "last_updated": "2007-11-08",
        "status": "A",
        "authorized_official_last_name": "KIMBALL",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-452-6257",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "DC",
            "license": "PSYC826",
            "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 Nov 8, 2007; 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.