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PROACTIVE PSYCHIATRY LC
NPI 1902656929
Nurse Practitioner - Psychiatric/Mental Health in Washington, DC

Active since March 25, 2024
1718 CONNECTICUT AVE NW STE 201, WASHINGTON, DC 20009(202) 640-5502 Get Directions Write a Review

NPPES record last updated: March 25, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Proactive Psychiatry Lc NPPES

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

PROACTIVE PSYCHIATRY LC (NPI 1902656929) is a healthcare organization registered as a psychiatric/mental health in Washington, District Of Columbia and active in the NPI registry since March 2024. The organization maintains a secondary practice location in Washington and lists Ryan Sheridan, Principal Clinician & Ceo, as its authorized official.

NPPES Registry Identity

NPI1902656929
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NamePROACTIVE PSYCHIATRY LC
Location Address1718 CONNECTICUT AVE NW STE 201Washington, DC 20009-1148
Mailing Address1629 K St Nw Ste 300Washington, DC 20006-1631
Phone(202) 640-5502
Organization SubpartNo
Authorized OfficialRyan SheridanPrincipal Clinician & Ceo · (202) 640-5502
Enumeration DateMarch 25, 2024
NPPES CertifiedMarch 23, 2024
✔ NPI 1902656929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
1718 CONNECTICUT AVE NW STE 201, Washington, DC 20009
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Secondary Practice Location 1

Location 11629 K St NW Ste 300Washington, DC 20006-1631 · Phone (202) 640-5502

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

STEPHANIE O'BRIEN MSW, LGSW
Social Worker (Clinical)
1718 CONNECTICUT AVE NW STE 201
WASHINGTON, DC 20009
District of Columbia (202) 596-9806
ENSO INTEGRATED HEALTH
Community/Behavioral Health
1718 CONNECTICUT AVE NW STE 201
WASHINGTON, DC 20009
District of Columbia (202) 907-7588
MS. TISHA T. WASHINGTON LMSW
Social Worker
1718 CONNECTICUT AVE NW STE 201
WASHINGTON, DC 20009
District of Columbia (202) 599-1913

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 Proactive Psychiatry Lc's NPI number?

The NPI number for Proactive Psychiatry Lc is 1902656929. It was assigned to this organization in the NPPES registry on March 25, 2024.

Where is Proactive Psychiatry Lc located?

Proactive Psychiatry Lc is located at 1718 Connecticut Ave NW Ste 201, Washington, DC 20009. The listed phone number is (202) 640-5502.

What is Proactive Psychiatry Lc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Proactive Psychiatry Lc was last updated on March 25, 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.