| Psychiatric Center Chartered,inc | |
|
3001 Bladensburg Rd Ne Washington DC 20018-2235 | |
| (202) 635-3577 | |
| (202) 635-0906 |
| Full Name | Psychiatric Center Chartered,inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3001 Bladensburg Rd Ne, Washington, District Of Columbia |
| Authorized Official Name and Position | Ellire Hall (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 2026353577 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychiatric Center Chartered,inc Po Box 41368 Washington DC 20018-0768 Ph: (202) 635-3577 | Psychiatric Center Chartered,inc 3001 Bladensburg Rd Ne Washington DC 20018-2235 Ph: (202) 635-3577 |
| NPI Number | 1831265131 |
|---|---|
| Provider Enumeration Date | 11/28/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 0749255537 |
|---|---|
| Medicare Enrollment ID | O20040826000290 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831265131 | NPI | - | NPPES |
| 6416 | Other | DC | CAREFIRST- OUTPATIENT |
| GZ3-015 | Other | DC | CAREFIRST - DAY SERVICES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Anil R Hinnaria |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588687263 PECOS PAC ID: 3173514544 Enrollment ID: I20040524000564 |
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