Provider Demographics
NPI:1043840085
Name:DC ANXIETY AND OCD CENTER LLC
Entity Type:Organization
Organization Name:DC ANXIETY AND OCD CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST, FOUNDER
Authorized Official - Prefix:DR
Authorized Official - First Name:MIA
Authorized Official - Middle Name:
Authorized Official - Last Name:PAUSTIAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:202-867-6918
Mailing Address - Street 1:2168 WISCONSIN AVE NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20007-2280
Mailing Address - Country:US
Mailing Address - Phone:202-867-6918
Mailing Address - Fax:
Practice Address - Street 1:2168 WISCONSIN AVE NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20007-2280
Practice Address - Country:US
Practice Address - Phone:202-867-6918
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-17
Last Update Date:2020-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & BehavioralGroup - Multi-Specialty
No103TP2701XBehavioral Health & Social Service ProvidersPsychologistGroup PsychotherapyGroup - Multi-Specialty