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ALCOHOL/SUBSTANCE ABUSE CLINIC
NPI 1043495450
Clinic/Center - Adult Mental Health in Washington, DC

Active since January 03, 2008CLIA Certified · 2 labs
2831 15TH ST NW, WASHINGTON, DC 20009(202) 462-4788(202) 250-3290 Get Directions Write a Review

NPPES record last updated: October 9, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 9, 2024, Sep 11, 2020 (2 updates tracked since 2020).

About Alcohol/substance Abuse Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALCOHOL/SUBSTANCE ABUSE CLINIC (NPI 1043495450) is a healthcare organization registered as an adult mental health in Washington, District Of Columbia and active in the NPI registry since January 2008. The organization holds 2 active CLIA laboratory certificates and lists Micaela Acuna, Patient Revenue Manager, as its authorized official.

NPPES Registry Identity

NPI1043495450
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameLA CLINICA DEL PUEBLO, INC
Location Address2831 15TH ST NWWashington, DC 20009-4607
Mailing Address2831 15th St NwWashington, DC 20009-4607 · (202) 462-4788 · Fax (202) 250-3290
Phone(202) 462-4788
Fax(202) 250-3290
Organization SubpartYesParent: La Clinica Del Pueblo
Authorized OfficialMicaela AcunaPatient Revenue Manager · (240) 582-8828
Enumeration DateJanuary 3, 2008
Last NPPES UpdateOctober 9, 20242 updates tracked since enumeration
NPPES CertifiedOctober 9, 2024
✔ NPI 1043495450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
2831 15TH ST NW, Washington, DC 20009
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Other Names 1

Other NameAlcohol/substance Abuse Clinic

Other Identifiers 1

Medicaid037411700DC

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 09D0876261

La Clinica Del Pueblo 15th Street · Washington, DC
Active · expires Sep 14, 2027
CLIA Number09D0876261
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateSeptember 15, 2025
Certificate Expiration DateSeptember 14, 2027
Laboratory DirectorAmina Chaudhry
Laboratory Phone(202) 462-4788
Laboratory LocationLa Clinica Del Pueblo 15th Street2831 15th Street NW, Washington, DC 20009
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 21D2119638

La Clinica Del Pueblo- Hyattsville Site · Hyattsville, MD
Active · expires Sep 29, 2026
CLIA Number21D2119638
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateSeptember 30, 2024
Certificate Expiration DateSeptember 29, 2026
Laboratory DirectorAmina Chaudhry
Laboratory Phone(202) 462-4788
Laboratory LocationLa Clinica Del Pueblo- Hyattsville Site2970 Belcrest Center Dr, Unit #301, Hyattsville, MD 20782
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SARAH BOTTOMLEY NP
Nurse Practitioner (Adult Health)
2831 15TH ST NW
WASHINGTON, DC 20009
District of Columbia (202) 462-4788
MS. DEBORAH ANNE BOMBARD PA-C
Physician Assistant (Medical)
2831 15TH ST NW
WASHINGTON, DC 20009
District of Columbia (202) 462-4788
DEYSI ESTELA NASH
Counselor (Addiction (Substance Use Disorder))
2831 15TH ST NW
WASHINGTON, DC 20009
District of Columbia (202) 448-2835
DR. YOLANDA BERNICE MCKOY-BEACH PHARM.D.
Pharmacist (Pharmacotherapy)
2831 15TH ST NW
WASHINGTON, DC 20009
District of Columbia (202) 462-4788
ISAEL RAMIREZ I CACII
Counselor (Addiction (Substance Use Disorder))
2831 15TH ST NW
WASHINGTON, DC 20009
District of Columbia (202) 462-4788
DR. DEBORAH SCHUMANN M.D.
Ophthalmology
2831 15TH ST NW
WASHINGTON, DC 20009
District of Columbia (202) 448-2820
VICTORIA A WHITE MD
Family Medicine
2831 15TH ST NW
WASHINGTON, DC 20009
District of Columbia (202) 462-4788
HELEN BURSTIN MD, MPH
Internal Medicine
2831 15TH ST NW
WASHINGTON, DC 20009
District of Columbia (202) 462-4788

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is La Clinica Del Pueblo, Inc's NPI number?

The NPI number for La Clinica Del Pueblo, Inc is 1043495450. It was assigned to this organization in the NPPES registry on January 3, 2008. The provider is also known as Alcohol/Substance Abuse Clinic.

Where is La Clinica Del Pueblo, Inc located?

La Clinica Del Pueblo, Inc is located at 2831 15th St NW, Washington, DC 20009. The listed phone number is (202) 462-4788.

What is La Clinica Del Pueblo, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

Does La Clinica Del Pueblo, Inc hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for La Clinica Del Pueblo, Inc was last updated on October 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.