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FLAVIA DESOUZA
NPI 1316309503
Psychiatry & Neurology - Child & Adolescent Psychiatry in Washington, DC

Active since March 25, 2016PECOS Enrolled
2041 GEORGIA AVE NW STE 6101, WASHINGTON, DC 20060(202) 865-6679 Get Directions Write a Review

NPPES record last updated: August 19, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 19, 2024, Dec 4, 2020, Mar 25, 2016 (3 updates tracked since 2016).

About Flavia Desouza NPPES

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

FLAVIA DESOUZA (NPI 1316309503) is an individual child & adolescent psychiatry provider in Washington, District Of Columbia, licensed in Michigan (4301512824) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Bad Axe, and is a graduate of Yale University School Of Medicine (2016).

NPPES Registry Identity

NPI1316309503
Entity TypeIndividualFemale
Primary Taxonomy2084P0804X
Provider Legal NameFLAVIA DESOUZA
Location Address2041 GEORGIA AVE NW STE 6101Washington, DC 20060-6624
Mailing Address15146 Hastings DrDolton, IL 60419-2904 · (860) 301-3140
Phone(202) 865-6679
Sole ProprietorYes
Medical School CMSYale University School Of MedicineGraduated 2016
Enumeration DateMarch 25, 2016
Last NPPES UpdateAugust 19, 20243 updates tracked since enumeration
NPPES CertifiedAugust 19, 2024
✔ NPI 1316309503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in MI · 4301512824
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License MD048611 (DC), 61581 (CT), 036153156 (IL), A169589 (CA)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2041 GEORGIA AVE NW STE 6101, Washington, DC 20060
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Secondary Practice Location 1

Location 11375 R Dale Wertz Dr # 48413Bad Axe, MI 48413-1365 · Phone (860) 301-3140

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Flavia Desouza is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2365737913
PECOS Enrollment IDI20251202001270
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Flavia Desouza reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Western Tidewater Community Mental
143 mi
Mental Health (Including Community Mental Health Center)
7025 HARBOUR VIEW BLVD STE 119
Suffolk, VA 23435
  • Reassigned Medicare billing, Virginia enrollment
  • 76 clinicians in this Medicare group
NPI 1689615296 (757) 966-2805

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

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

DR. ESTELLE COOKE-SAMPSON M.D.
Radiology (Diagnostic Radiology)
2041 GEORGIA AVE NW STE 6101
WASHINGTON, DC 20060
District of Columbia (202) 865-6679

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 Flavia Desouza's NPI number?

The NPI number for Flavia Desouza is 1316309503. It was assigned to this individual provider in the NPPES registry on March 25, 2016.

Where is Flavia Desouza located?

Flavia Desouza practices at 2041 Georgia Ave NW Ste 6101, Washington, DC 20060. The listed phone number is (202) 865-6679.

What is Flavia Desouza's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Flavia Desouza enrolled in Medicare?

Yes. Flavia Desouza is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Flavia Desouza's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Flavia Desouza reassigns Medicare benefits to Western Tidewater Community Mental (Suffolk, VA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Flavia Desouza's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Flavia Desouza was last updated on August 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.