Provider Demographics
NPI:1083062467
Name:METROPOLITAN CENTER FOR PSYCHOLOGICAL SERVICES
Entity Type:Organization
Organization Name:METROPOLITAN CENTER FOR PSYCHOLOGICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARCUS
Authorized Official - Middle Name:
Authorized Official - Last Name:HUMMINGS
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:202-596-2258
Mailing Address - Street 1:4401A CONNECTICUT AVE NW
Mailing Address - Street 2:STE. 171
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20008-2358
Mailing Address - Country:US
Mailing Address - Phone:202-596-2258
Mailing Address - Fax:202-806-7299
Practice Address - Street 1:1629 K ST NW
Practice Address - Street 2:STE. 300
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20006-1602
Practice Address - Country:US
Practice Address - Phone:202-596-2258
Practice Address - Fax:202-806-7299
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-26
Last Update Date:2016-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPSY1000822103TC0700X
VA0810004927103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty