Individual provider Active NPI

Priscilla Dass-Brailsford, EDD

  • Psychologist
  • Washington, DC
National Provider Identifier
1972777969
Registry record updated Mar 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY1000499 Issued in DC
Practice address
2115 Wisconson Ave.
Washington, DC 20007-2113
Phone
(617) 921-6431
NPI assigned
Apr 21, 2008
Last updated
Mar 5, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 4657 MA
Psychologist 103T00000X PSY1000499 DC Primary

Addresses

Primary practice location

2115 Wisconson Ave.
Washington, DC 20007-2113

Mailing address

PO Box 418407
Boston, MA 02241-8407
Phone (703) 558-1544

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091027000695 DC Practitioner - Psychiatry 9931246709 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians

Practice addresses (Care Compare)

3800 Reservoir Rd NW
Washington, DC 20007-2113
Phone (202) 444-2000

Merit-based Incentive Payment System (MIPS)

Final score
82.97 of 100Reported as group
Quality
72.87
Promoting interoperability
100
Improvement activities
40
Cost
67.82

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY1000499DCMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Medical Group II LLC CurrentSince Jun 1, 2025 Accepting new patients
Medstar Georgetown Medical Center, Inc CurrentSince Sep 3, 2009 Accepting new patients
MGMC LLC CurrentSince Jan 1, 2022 Accepting new patients
Medstar Medical Group II LLC CurrentSince Jan 1, 2022 Accepting new patients
Medstar - Georgetown Medical Center, Inc. CurrentSince Sep 3, 2009 Accepting new patients
Medstar Medical Group II LLC CurrentSince Jun 1, 2025 Accepting new patients
MGMC, LLC Current Accepting new patients

Locations

1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401

2115 Wisconsin Ave NW
Washington, DC 20007
Phone (202) 444-8531

2115 Wisconsin Ave NW
Fl 200
Washington, DC 20007

2115 Wisconsin Ave NW
Ste 120
Washington, DC 20007
Phone (202) 687-1997

3800 Reservoir Rd NW
Washington, DC 20007
Phone (202) 687-2203

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1208736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330905600000",
    "number": "1972777969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 418407",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022418407",
            "telephone_number": "703-558-1544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 WISCONSON AVE.",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200072113",
            "telephone_number": "617-921-6431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DASS-BRAILSFORD",
        "first_name": "PRISCILLA",
        "name_prefix": "Dr.",
        "credential": "EDD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-21",
        "last_updated": "2012-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "4657",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "DC",
            "license": "PSY1000499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.