NPI 1255727434 · live from the CMS NPI Registry
Kaushalendra Amatya
Psychologist, Clinical Child & Adolescent in Washington, DC. National Provider Identifier 1255727434, active.
NPI record
| NPI | 1255727434 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Clinical Child & Adolescent 103TC2200X |
| Practice location | 111 Michigan Ave Nw, Washington, DC 20010 |
| Practice phone | 202-476-5000 |
| Mailing address | Po Box 37215, Baltimore, MD 21297 |
| Enumerated | April 14, 2015 |
| Last updated | March 17, 2018 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
| Psychologist, Clinical Child & Adolescent primary | 103TC2200X | PSY1001259 (DC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.