| Mcclendon Center | |
|
1338 N Capitol St Nw Washington DC 20002-3396 | |
| (202) 745-0073 | |
| (202) 379-3478 |
| Full Name | Mcclendon Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 1338 N Capitol St Nw, Washington, District Of Columbia |
| Authorized Official Name and Position | Sana S Rasul (HR DIRECTOR) |
| Authorized Official Contact | 2027450073 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mcclendon Center 1338 N Capitol St Nw Washington DC 20002-3396 Ph: (202) 745-0073 | Mcclendon Center 1338 N Capitol St Nw Washington DC 20002-3396 Ph: (202) 745-0073 |
| NPI Number | 1396778361 |
|---|---|
| Provider Enumeration Date | 07/10/2006 |
| Last Update Date | 01/31/2017 |
| Medicare PECOS PAC ID | 8224031901 |
|---|---|
| Medicare Enrollment ID | O20080607000146 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396778361 | NPI | - | NPPES |
| 036405700 | Medicaid | DC |
| Provider Name | Siyami Takha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760995021 PECOS PAC ID: 7911335658 Enrollment ID: I20200312000478 |
| Provider Name | Sara Teichholtz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760836209 PECOS PAC ID: 4587084058 Enrollment ID: I20201022000167 |
| Provider Name | Samuel J Allen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093241739 PECOS PAC ID: 2062891377 Enrollment ID: I20220616001531 |
| Provider Name | Dreama Shuler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407574072 PECOS PAC ID: 6002261500 Enrollment ID: I20231127003027 |
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