NPIMap

Organization Active NPI

Psi Services III, Inc.

Doing business as Psi Family Services, Inc.

  • Adult Mental Health Clinic/Center
  • Washington, DC
National Provider Identifier
1942578133
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
PSI SERVICES III, INC.
Doing business as
Psi Family Services, Inc.
Practice address
5820 Dix St NE
Washington, DC 20019-6965
Phone
(202) 547-3870
NPI assigned
Dec 2, 2011
Last updated
Apr 8, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2024

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

Authorized official

Name
Ms. Shawn Rubbin
Title
Chief Advancement Officer
Phone
(301) 552-7120

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X NU Primary
Mental Health Counselor 101YM0800X NU
Clinical Social Worker 1041C0700X NU

Addresses

Primary practice location

5820 Dix St NE
Washington, DC 20019-6965

Mailing address

8301 Professional PL Ste 205
Hyattsville, MD 20785-2353
Phone (301) 552-7120

Other names 1

  • PSI FAMILY SERVICES, INC. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120927000271 DC Part B Supplier - Clinic/Group Practice 1850464660 Receives reassigned benefits from 11 practitioners
Practice locations: Washington, DC

National Provider Directory

National Provider Directory
Tax ID family
Psi Services III Inc12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Locations

200 E 75th St
#208
Chicago, IL 60619
Phone (773) 483-7635

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1322784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712534400000",
    "number": "1942578133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8301 PROFESSIONAL PL STE 205",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207852353",
            "telephone_number": "301-552-7120",
            "fax_number": "301-654-4418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5820 DIX ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200196965",
            "telephone_number": "202-547-3870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSI SERVICES III, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-02",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A",
        "authorized_official_last_name": "RUBBIN",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "CHIEF ADVANCEMENT OFFICER",
        "authorized_official_telephone_number": "301-552-7120",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PSI FAMILY SERVICES, INC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.