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

Phs Behavioral Medicine

Organization Addiction Medicine (Psychiatry & Neurology) Physician · NPI 1396012837

Phs Behavioral Medicine is an Addiction Medicine (Psychiatry & Neurology) Physician in Washington, District of Columbia. Licensed in District of Columbia. Registered with an NPI since 2011.

Licensed in
DC
In the registry since
2011
Specialties on file
3

Practice location Address checks out

1053 Buchanan St NE Ste 055
Washington, DC 20017-2712
Phone: (202) 269-7626
Fax: (202) 269-7616
Show map & directions

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

Specialties & licences

Addiction Medicine (Psychiatry & Neurology) Physician (primary) Taxonomy 2084A0401X · Licence HFD01-0212 (DC)
Neurology Physician Taxonomy 2084N0400X · Licence HFD01-0212 (DC)
General Acute Care Hospital Taxonomy 282N00000X · Licence HFD01-0112 (DC)

Record details

NPI number1396012837
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationProvidence Hospital
Authorized official Charles Haberkern — Vp · (202) 854-4255
Other names Providence Health Services
NPI enumeratedNovember 29, 2011
Last updated in NPPESSeptember 6, 2016
Mailing address1150 Varnum St Ne, St Catherine'S Hall, Room 102, Washington, DC 20017-2104

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