NPI 1134828130 · live from the CMS NPI Registry
Boys Town Washington DC, INC.
Psychologist in Silver Spring, MD. National Provider Identifier 1134828130, active.
NPI record
| NPI | 1134828130 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Psychologist 103T00000X |
| Practice location | 10750 Columbia Pike Ste 502, Silver Spring, MD 20901 |
| Practice phone | 202-650-6361 |
| Mailing address | 4801 Sargent Rd Ne, Washington, DC 20017 |
| Enumerated | February 28, 2023 |
| Last updated | March 14, 2023 |
| Authorized official | Stacia Shearman, Credentialing Specialist |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist primary | 103T00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.