Phs Outpatient Behavioral Health

LBN: Providence Health Services, Inc
Phs Outpatient Behavioral Health is an health care organization with primary practice located at 1140 Varnum St Ne Ste 100 , Washington DC 20017. The organization recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Social Worker, Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Behavioral Neurology & Neuropsychiatry, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is the primary health care specialty. Providence Health Services, Inc can be contacted via phone (202) 854-7623, or through Lomax, Mitchell via phone (667) 234-2926.

Contact Information

Primary practice address
1140 Varnum St Ne Ste 100 Washington DC 20017
Phone: (202) 854-7623
Fax: (202) 854-7616
Website:
Map and Directions
Authorized official contact:
Name: Lomax, Mitchell
Phone: (667) 234-2926

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X HFD01-0212 District of Columbia
Behavioral Health & Social Service Providers / Psychologist 103T00000X HFD01-0212 District of Columbia
Behavioral Health & Social Service Providers / Social Worker 104100000X HFD01-0212 District of Columbia
Allopathic & Osteopathic Physicians / Addiction Medicine 2084A0401X HFD01-0212 District of Columbia
Allopathic & Osteopathic Physicians / Behavioral Neurology & Neuropsychiatry 2084B0040X HFD01-0212 District of Columbia
Allopathic & Osteopathic Physicians / Neurology 2084N0400X HFD01-0212 District of Columbia

Profile Details

NPI number 1609031632
LBN Legal business name Providence Health Services, Inc
DBA Doing business as Phs Outpatient Behavioral Health
Authorized official Lomax, Mitchell
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 18th, 2008
Last updated Oct 20th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609031632 NPPES
Maryland MEDICAID 985415100

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