Provider Demographics
NPI:1457569931
Name:GEORGETOWN UNIVERSITY
Entity type:Organization
Organization Name:GEORGETOWN UNIVERSITY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:PHILIP
Authorized Official - Middle Name:W
Authorized Official - Last Name:MEILMAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:202-687-6985
Mailing Address - Street 1:37TH AND O STS NW
Mailing Address - Street 2:1 DARNALL HALL BOX 571105
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20057-1105
Mailing Address - Country:US
Mailing Address - Phone:202-687-6985
Mailing Address - Fax:202-687-6158
Practice Address - Street 1:37TH AND O STS NW
Practice Address - Street 2:1 DARNALL HALL
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20057-1105
Practice Address - Country:US
Practice Address - Phone:202-687-6985
Practice Address - Fax:202-687-6158
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Not Answered2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty