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

Providence Health Services Inc

Organization Health Service Psychologist · NPI 1669453809

Providence Health Services Inc is a Health Service Psychologist in Washington, District of Columbia. Works from 2 locations. Licensed in District of Columbia.

Licensed in
DC
In the registry since
2005
Specialties on file
7
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

1160 Varnum St NE
Washington, DC 20017-2107
Phone: (202) 854-7000
Fax: (202) 269-7160
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1150 Varnum St Ne, Washington, DC 20017-2104 — (202) 854-4069

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Health Service Psychologist Taxonomy 103TH0100X
Internal Medicine Physician Taxonomy 207R00000X
Surgery Physician Taxonomy 208600000X
Hospitalist Physician Taxonomy 208M00000X
Case Management Agency Taxonomy 251B00000X · Licence HFD01-0212 (DC)
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1669453809
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationProvidence Hospital
Authorized official Mitchell Lomax — Vice President/Cfo · (667) 234-2926
Other names Providence Hospital; Providence Hospital
NPI enumeratedNovember 6, 2005
Last updated in NPPESNovember 1, 2023
Certification dateNovember 1, 2023
Mailing address1150 Varnum St Ne, Administration 4th Floor, Washington, DC 20017-2149

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