| Psi Family Services, Inc. | |
|
5820 Dix St Ne Washington DC 20019-6965 | |
| (202) 547-3870 | |
| Not Available |
| Full Name | Psi Family Services, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 5820 Dix St Ne, Washington, District Of Columbia |
| Authorized Official Name and Position | Shawn Rubbin (CHIEF ADVANCEMENT OFFICER) |
| Authorized Official Contact | 3015527120 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psi Family Services, Inc. 8301 Professional Pl Ste 205 Hyattsville MD 20785-2353 Ph: (301) 552-7120 | Psi Family Services, Inc. 5820 Dix St Ne Washington DC 20019-6965 Ph: (202) 547-3870 |
| NPI Number | 1942578133 |
|---|---|
| Provider Enumeration Date | 12/02/2011 |
| Last Update Date | 04/08/2024 |
| Certification Date | 04/08/2024 |
| Medicare PECOS PAC ID | 1850464660 |
|---|---|
| Medicare Enrollment ID | O20120927000271 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942578133 | NPI | - | NPPES |
| Provider Name | Benjamin A Adewale |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790702132 PECOS PAC ID: 0345229571 Enrollment ID: I20040805001643 |
| Provider Name | Rama Prayaga |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033121058 PECOS PAC ID: 1951563410 Enrollment ID: I20120427000564 |
| Provider Name | John M Ndambuki |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538478656 PECOS PAC ID: 7315199957 Enrollment ID: I20121206000297 |
| Provider Name | Phyllis June Mayo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174873061 PECOS PAC ID: 5890069587 Enrollment ID: I20170919002300 |
| Provider Name | Amber Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790122737 PECOS PAC ID: 5294086906 Enrollment ID: I20180919002178 |
| Provider Name | Harriet Broadnax-brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659708626 PECOS PAC ID: 2466797121 Enrollment ID: I20181227001494 |
| Provider Name | Shaji Zachariah |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508337882 PECOS PAC ID: 2264768241 Enrollment ID: I20190729003245 |
| Provider Name | James Campbell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477932960 PECOS PAC ID: 1355774944 Enrollment ID: I20191212002435 |
| Provider Name | Karon Virginia Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285952192 PECOS PAC ID: 1658524277 Enrollment ID: I20200803003056 |
| Provider Name | Solange N Missibi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174886931 PECOS PAC ID: 1052755063 Enrollment ID: I20240410003654 |
| Provider Name | Sarah May Gaudreau |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841818754 PECOS PAC ID: 5193267292 Enrollment ID: I20240604003547 |
| Provider Name | Augusta Nnawuba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184323669 PECOS PAC ID: 1850833856 Enrollment ID: I20240605003502 |
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