Provider Demographics
NPI:1508908724
Name:WASHINGTON CENTER FOR COGNITIVE THERAPY,PC
Entity Type:Organization
Organization Name:WASHINGTON CENTER FOR COGNITIVE THERAPY,PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:VINCENT
Authorized Official - Middle Name:BOWIE
Authorized Official - Last Name:GREENWOOD
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:202-244-0260
Mailing Address - Street 1:5225 CONNECTICUT AVE NW
Mailing Address - Street 2:STE 501
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20015-1813
Mailing Address - Country:US
Mailing Address - Phone:202-244-0260
Mailing Address - Fax:202-244-3871
Practice Address - Street 1:5225 CONNECTICUT AVE NW
Practice Address - Street 2:STE 501
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20015-1813
Practice Address - Country:US
Practice Address - Phone:202-244-0260
Practice Address - Fax:202-244-3871
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-13
Last Update Date:2013-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPSY1047103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty