Active NPI
Jennifer a. Crumlish PHD LLC
- Clinical Psychologist
- Washington, DC
National Provider Identifier
1972212165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- JENNIFER A. CRUMLISH PHD LLC
- Practice address
- 5225 Wisconsin Ave NW Ste 513
Washington, DC 20015-2024 - Phone
- (240) 233-6950
- Fax
- (202) 364-0561
- NPI assigned
- Nov 16, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jennifer C Elliott, PH.D.
- Title
- Owner
- Phone
- (240) 233-6950
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | Primary |
Addresses
Primary practice location
5225 Wisconsin Ave NW Ste 513
Washington, DC 20015-2024
Mailing address
5225 Wisconsin Ave NW Ste 513
Washington, DC 20015-2024
Phone (240) 233-6950
National Provider Directory
National Provider DirectoryLocations
5225 Wisconsin Ave NW
Ste 513
Washington, DC 20015
Phone 20236227763
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668556800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1668556800000",
"number": "1972212165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5225 WISCONSIN AVE NW STE 513",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200152024",
"telephone_number": "240-233-6950",
"fax_number": "202-364-0561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5225 WISCONSIN AVE NW STE 513",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200152024",
"telephone_number": "240-233-6950",
"fax_number": "202-364-0561"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JENNIFER A. CRUMLISH PHD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-16",
"last_updated": "2022-11-16",
"certification_date": "2022-11-16",
"status": "A",
"authorized_official_last_name": "ELLIOTT",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "240-233-6950",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"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 Nov 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.