Provider Demographics
NPI:1891763256
Name:APPEL, PHILIP (PHD)
Entity Type:Individual
Prefix:
First Name:PHILIP
Middle Name:
Last Name:APPEL
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 IRVING ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20010-2921
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:102 IRVING ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20010-2921
Practice Address - Country:US
Practice Address - Phone:202-877-1170
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-10
Last Update Date:2011-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC1361103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD410338-04OtherBC OF MD
DCH360-0003OtherBS NCA
MDJ624 - 0001OtherBCBS
DC4071-0008OtherBCBS
247623OtherMAMSI
114439OtherKAISER
DC495042OtherNCPPO
351104-000OtherAETNA
DC000456N76Medicare PIN
351104-000OtherAETNA
MD410338-04OtherBC OF MD