Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Green Door, Inc

Organization Psychiatry Physician · NPI 1073659140

Green Door, Inc is a Psychiatry Physician in Washington, District of Columbia. Licensed in District of Columbia. Registered with an NPI since 2007.

Licensed in
DC
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1221 Taylor St NW
Washington, DC 20011-5617
Phone: (202) 464-9200
Fax: (202) 464-5740
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence MD33367 (DC)

Record details

NPI number1073659140
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Clancy — Deputy Director · (202) 464-9200
NPI enumeratedJanuary 29, 2007
Last updated in NPPESAugust 22, 2020
Mailing address1221 Taylor St Nw, Washington, DC 20011-5617

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