Organization Active NPI

Jennifer a. Crumlish PHD LLC

  • Clinical Psychologist
  • Washington, DC
National Provider Identifier
1972212165
Registry record updated Nov 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
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

Updated by the provider on Nov 16, 2022

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)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.