NPI 1053621680 · live from the CMS NPI Registry
Shareefah Naimah Al'Uqdah, PhD
Psychologist in Washington, DC. National Provider Identifier 1053621680, active.
NPI record
| NPI | 1053621680 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist 103T00000X |
| Practice location | 2007 Vermont Ave Nw, Washington, DC 20001 |
| Practice phone | 202-643-8012 |
| Enumerated | October 17, 2010 |
| Last updated | June 24, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, Addiction (Substance Use Disorder) | 103TA0400X | — |
| Psychologist, Clinical | 103TC0700X | PSY1000748 (DC) |
| Psychologist, Clinical | 103TC0700X | 04847 (MD) |
| Psychologist, Counseling | 103TC1900X | — |
| Psychologist, Family | 103TF0000X | — |
| Psychologist, Forensic | 103TF0200X | — |
| Psychologist, Group Psychotherapy | 103TP2701X | — |
| Psychologist, School | 103TS0200X | — |
| Psychologist primary | 103T00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.