| Psychiatric Institute Of Washington | |
|
4228 Wisconsin Ave Nw Washington DC 20016-2138 | |
| (202) 885-5600 | |
| Not Available |
| Full Name | Psychiatric Institute Of Washington |
|---|---|
| Speciality | Psychiatric Hospital |
| Location | 4228 Wisconsin Ave Nw, Washington, District Of Columbia |
| Authorized Official Name and Position | Steve Filton (VICE PRESIDENT) |
| Authorized Official Contact | 6107683482 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychiatric Institute Of Washington 4228 Wisconsin Ave Nw Washington DC 20016-2138 Ph: (202) 885-5600 | Psychiatric Institute Of Washington 4228 Wisconsin Ave Nw Washington DC 20016-2138 Ph: (202) 885-5600 |
| NPI Number | 1871549949 |
|---|---|
| Provider Enumeration Date | 05/26/2006 |
| Last Update Date | 06/04/2020 |
| Certification Date | 06/04/2020 |
| Medicare PECOS PAC ID | 5991791162 |
|---|---|
| Medicare Enrollment ID | O20040422001139 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871549949 | NPI | - | NPPES |
| 208290000 | Medicaid | MD | |
| 026402100 | Medicaid | DC | |
| 026392500 | Medicaid | DC | |
| 074500600 | Medicaid | MD |
| Provider Name | Memunatu Bangura |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760409528 PECOS PAC ID: 5890788129 Enrollment ID: I20040405000452 |
| Provider Name | Ni N Khin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487760062 PECOS PAC ID: 1951381276 Enrollment ID: I20040726000534 |
| Provider Name | Zina Hussain |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982659678 PECOS PAC ID: 8022088418 Enrollment ID: I20040731000326 |
| Provider Name | Barbara J Perez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427493121 PECOS PAC ID: 0749257830 Enrollment ID: I20040916001152 |
| Provider Name | Syed Asif H Ali |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831284769 PECOS PAC ID: 6406897503 Enrollment ID: I20050525001263 |
| Provider Name | Antolin C Trinidad |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083688022 PECOS PAC ID: 3274579420 Enrollment ID: I20050628001311 |
| Provider Name | Dida K Ganjoo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265451470 PECOS PAC ID: 4688611874 Enrollment ID: I20070601000350 |
| Provider Name | Constantine Shustikoff |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023234689 PECOS PAC ID: 3870686074 Enrollment ID: I20070904000610 |
| Provider Name | Valerie A Shell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033267257 PECOS PAC ID: 3779624671 Enrollment ID: I20100113000647 |
| Provider Name | Miraslava Khmurets |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447404942 PECOS PAC ID: 9739239773 Enrollment ID: I20100819000748 |
| Provider Name | Robin E Berlin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265628465 PECOS PAC ID: 1951575992 Enrollment ID: I20111201000108 |
| Provider Name | Irina Feodor Samuels |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558518514 PECOS PAC ID: 8022261759 Enrollment ID: I20130109000214 |
| Provider Name | Shanique T Cartwright |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265692115 PECOS PAC ID: 4587801998 Enrollment ID: I20130502000183 |
| Provider Name | Tracy Meyer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639339864 PECOS PAC ID: 6305087735 Enrollment ID: I20130729000356 |
| Provider Name | Partam Manalai |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649598244 PECOS PAC ID: 2961680913 Enrollment ID: I20130816000255 |
| Provider Name | Janet Mijere |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891134292 PECOS PAC ID: 8224262118 Enrollment ID: I20131008001630 |
| Provider Name | Surendra Kandel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336420306 PECOS PAC ID: 3779748066 Enrollment ID: I20140227001841 |
| Provider Name | Bindu P Koshy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326186172 PECOS PAC ID: 1951580711 Enrollment ID: I20140618000675 |
| Provider Name | Pamela R Ramos |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457599979 PECOS PAC ID: 4385873207 Enrollment ID: I20141231000239 |
| Provider Name | Michael Arthur Bogrov |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437219763 PECOS PAC ID: 5395878037 Enrollment ID: I20150317002420 |
| Provider Name | Jimmy O Ibikunle |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144264953 PECOS PAC ID: 8426087016 Enrollment ID: I20150317002546 |
| Provider Name | Kevin Samuel Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881978229 PECOS PAC ID: 7214100676 Enrollment ID: I20150821012915 |
| Provider Name | Chimdinma Deborah Ojini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255729463 PECOS PAC ID: 4789990466 Enrollment ID: I20150825005358 |
| Provider Name | Prabhavathi M Rao |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437349412 PECOS PAC ID: 9739497157 Enrollment ID: I20151006000316 |
| Provider Name | Pooja Lakshmin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760793665 PECOS PAC ID: 7012219199 Enrollment ID: I20160106001341 |
| Provider Name | Aneela Kazi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720241011 PECOS PAC ID: 3678879285 Enrollment ID: I20160308001813 |
| Provider Name | Olayemi A Adurota |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437524899 PECOS PAC ID: 3971801515 Enrollment ID: I20160414000378 |
| Provider Name | Richard M Chvotkin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417193780 PECOS PAC ID: 7618275165 Enrollment ID: I20160415001565 |
| Provider Name | Linda Ruth Ojo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831432038 PECOS PAC ID: 9234435827 Enrollment ID: I20160824002459 |
| Provider Name | Lartoniah Hassan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790150258 PECOS PAC ID: 4486940178 Enrollment ID: I20160906002652 |
| Provider Name | Tzvetelina Dimitrova |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952557969 PECOS PAC ID: 4284922022 Enrollment ID: I20161012000191 |
| Provider Name | Elizabeth E Ndika |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730565599 PECOS PAC ID: 8729368188 Enrollment ID: I20161201001556 |
| Provider Name | Monika Karazja |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801206578 PECOS PAC ID: 1759656960 Enrollment ID: I20171013000461 |
| Provider Name | Jacqueline Posada |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174918114 PECOS PAC ID: 2769743129 Enrollment ID: I20180227001097 |
| Provider Name | Lisa Grine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710496799 PECOS PAC ID: 6608134440 Enrollment ID: I20180612002029 |
| Provider Name | Shahbaz Khan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164597167 PECOS PAC ID: 2567554025 Enrollment ID: I20180627000247 |
| Provider Name | Wilhem Rivera |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699062612 PECOS PAC ID: 1153672761 Enrollment ID: I20180920002496 |
| Provider Name | Tahani Alqassem |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487819991 PECOS PAC ID: 5890049340 Enrollment ID: I20181119003177 |
| Provider Name | Gowri Ramachandran |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285089284 PECOS PAC ID: 8729322409 Enrollment ID: I20181206002095 |
| Provider Name | Olukemi R Omogoke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801365689 PECOS PAC ID: 2365782729 Enrollment ID: I20190321000209 |
| Provider Name | Mary F Krawczewicz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063955227 PECOS PAC ID: 0648519843 Enrollment ID: I20190426000979 |
| Provider Name | Maninder Bhutani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265876833 PECOS PAC ID: 6204261803 Enrollment ID: I20200108001323 |
| Provider Name | Terri Loretta-bernice Turner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336307883 PECOS PAC ID: 9133371123 Enrollment ID: I20200122000741 |
| Provider Name | Joyce E Nguyen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326570136 PECOS PAC ID: 6002237724 Enrollment ID: I20200605000657 |
| Provider Name | Basant Nassar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831548882 PECOS PAC ID: 1355766536 Enrollment ID: I20200805000777 |
| Provider Name | Gloria Osuruaka |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215391677 PECOS PAC ID: 8921428368 Enrollment ID: I20201023000411 |
| Provider Name | Valerie Dorcelus |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720583594 PECOS PAC ID: 1658787148 Enrollment ID: I20210308002270 |
| Provider Name | Denise Namuli Batuuka |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497285233 PECOS PAC ID: 7416363924 Enrollment ID: I20210309000368 |
| Provider Name | Ernesto P Henderson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821539230 PECOS PAC ID: 6305253568 Enrollment ID: I20210406000697 |
| Provider Name | Danya P Anouti |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962065771 PECOS PAC ID: 4385035112 Enrollment ID: I20220105000401 |
| Provider Name | Daniel Kenneth Pustay |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073018842 PECOS PAC ID: 7810388618 Enrollment ID: I20220105003047 |
| Provider Name | Alexander Beard |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477182392 PECOS PAC ID: 7113314022 Enrollment ID: I20220425000056 |
| Provider Name | Kelsey S Hobart |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376100115 PECOS PAC ID: 9537556220 Enrollment ID: I20220427002537 |
| Provider Name | Frough Safavi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457970014 PECOS PAC ID: 7012304660 Enrollment ID: I20220428001881 |
| Provider Name | Chiedozie Obinna Ojimba |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689198350 PECOS PAC ID: 6507255239 Enrollment ID: I20220815003620 |
| Provider Name | Charles Chaney |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184990087 PECOS PAC ID: 6305104209 Enrollment ID: I20221004001951 |
| Provider Name | Nicholas J Mahan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881157923 PECOS PAC ID: 8729464243 Enrollment ID: I20221006000008 |
| Provider Name | Giselle K Plata |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467943407 PECOS PAC ID: 2365818523 Enrollment ID: I20221013001994 |
| Provider Name | Emily Margaret Schutzenhofer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700349917 PECOS PAC ID: 8628448461 Enrollment ID: I20230112000343 |
| Provider Name | Prudhvi Bandi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568041523 PECOS PAC ID: 7416328976 Enrollment ID: I20230124001419 |
| Provider Name | Nina Kahyoh Govalla |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366016404 PECOS PAC ID: 0840691275 Enrollment ID: I20230310000506 |
| Provider Name | Miglia S Cornejo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376122218 PECOS PAC ID: 9830558931 Enrollment ID: I20230707001859 |
| Provider Name | Ogochukwu I Enyi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194068866 PECOS PAC ID: 2163807868 Enrollment ID: I20230927000406 |
| Provider Name | Thanh Nguyen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033610357 PECOS PAC ID: 7810374634 Enrollment ID: I20231005002345 |
| Provider Name | Menachem M Groden |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376112839 PECOS PAC ID: 3870942279 Enrollment ID: I20231211002651 |
| Provider Name | Joshua M Palmer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740867357 PECOS PAC ID: 3072962489 Enrollment ID: I20231211002996 |
| Provider Name | Anna M Spector |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639792252 PECOS PAC ID: 6608226907 Enrollment ID: I20231228003746 |
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