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PHS OUTPATIENT BEHAVIORAL HEALTH
NPI 1609031632
Psychiatry & Neurology - Neurology in Washington, DC

Active since July 18, 2008
1140 VARNUM ST NE STE 100, WASHINGTON, DC 20017(202) 854-7623(202) 854-7616 Get Directions Write a Review

NPPES record last updated: October 20, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 20, 2023, Aug 22, 2018 (2 updates tracked since 2018).

About Phs Outpatient Behavioral Health NPPES

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

PHS OUTPATIENT BEHAVIORAL HEALTH (NPI 1609031632) is a healthcare organization registered as a neurology in Washington, District Of Columbia and active in the NPI registry since July 2008. The organization lists Mitchell Lomax, Vice President/cfo, as its authorized official.

NPPES Registry Identity

NPI1609031632
Entity TypeOrganization
Primary Taxonomy2084N0400X
Legal Business NamePROVIDENCE HEALTH SERVICES, INC
Location Address1140 VARNUM ST NE STE 100Washington, DC 20017
Mailing Address1150 Varnum St Ne, St Catherines Hall 102Washington, DC 20017-2180 · (202) 854-4069 · Fax (202) 269-7825
Phone(202) 854-7623
Fax(202) 854-7616
Organization SubpartYesParent: Providence Hospital
Authorized OfficialMitchell LomaxVice President/cfo · (667) 234-2926
Enumeration DateJuly 18, 2008
Last NPPES UpdateOctober 20, 20232 updates tracked since enumeration
NPPES CertifiedOctober 20, 2023
✔ NPI 1609031632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in DC · HFD01-0212
Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Also ListedCounselorTaxonomy 101Y00000X · License HFD01-0212 (DC)
Also ListedPsychologistTaxonomy 103T00000X · License HFD01-0212 (DC)
Also ListedSocial WorkerTaxonomy 104100000X · License HFD01-0212 (DC)
Also ListedPsychiatry & Neurology · Addiction MedicineTaxonomy 2084A0401X · License HFD01-0212 (DC)
Also ListedPsychiatry & Neurology · Behavioral Neurology & NeuropsychiatryTaxonomy 2084B0040X · License HFD01-0212 (DC)
1140 VARNUM ST NE STE 100, Washington, DC 20017
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Other Names 1

Doing Business AsPhs Outpatient Behavioral Health

Other Identifiers 1

Medicaid985415100MD

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Providence Health Services, Inc's NPI number?

The NPI number for Providence Health Services, Inc is 1609031632. It was assigned to this organization in the NPPES registry on July 18, 2008. The provider is doing business as Phs Outpatient Behavioral Health.

Where is Providence Health Services, Inc located?

Providence Health Services, Inc is located at 1140 Varnum St NE Ste 100, Washington, DC 20017. The listed phone number is (202) 854-7623.

What is Providence Health Services, Inc's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

When was this NPI record last updated?

The NPPES record for Providence Health Services, Inc was last updated on October 20, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.