DR. MAKON FARDIS PHD
NPI 1760781512
Psychologist - Clinical in Washington, DC
About Dr. Makon Fardis Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MAKON FARDIS PHD (NPI 1760781512) is an individual clinical provider in Washington, District Of Columbia, licensed in District Of Columbia (PSY 1000573) and active in the NPI registry since March 2011. He has opted out of Medicare through May 15, 2027 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Dr. Makon Fardis Phd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 15, 2015 through May 15, 2027.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 20036 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Makon Fardis's NPI number?
The NPI number for Makon Fardis is 1760781512. It was assigned to this individual provider in the NPPES registry on March 18, 2011.
Where is Makon Fardis located?
Makon Fardis practices at 2029 P St NW Suite 302, Washington, DC 20036. The listed phone number is (202) 906-9614.
What is Makon Fardis's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Makon Fardis enrolled in Medicare?
No. Makon Fardis has opted out of Medicare through May 15, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
When was this NPI record last updated?
The NPPES record for Makon Fardis was last updated on March 18, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Dr. Makon Fardis, PHD · NPI 1760781512
Clinical provider in Washington, District of Columbia. Individual provider, active in the CMS NPPES registry since March 18, 2011.
## Identity
- **NPI:** 1760781512 (Entity type: Individual)
- **Enumerated:** March 18, 2011
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** PSY 1000573 (District of Columbia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2029 P ST NW, SUITE 302, Washington, DC 20036-5948
- **Phone:** (202) 906-9614
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through May 15, 2027); services are provided under private contract
## Record status
- **NPPES last updated:** March 18, 2011
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Source: [NPI Profile](https://npiprofile.com/npi/1760781512) · Data from the CMS NPPES public registry.