Psychiatry & Neurology, Neurology
PROVIDENCE HEALTH SERVICES, INC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1609031632 · enumerated 2008-07-18 · record updated 2023-10-20. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: MITCHELL LOMAX, Vice President/CFO · (667) 234-2926
Other names: PHS OUTPATIENT BEHAVIORAL HEALTH
Addresses and phones
- Practice location 1140 VARNUM ST NE STE 100, WASHINGTON, DC, 20017 (202) 854-7623 Fax (202) 854-7616 Google Maps Apple Maps OpenStreetMap
- Mailing address 1150 VARNUM ST NE, ST CATHERINES HALL 102, WASHINGTON, DC, 20017-2180 (202) 854-4069 Fax (202) 269-7825 Google Maps Apple Maps OpenStreetMap
Specialties
- Psychologist 103T00000X · License HFD01-0212 DC
- Social Worker 104100000X · License HFD01-0212 DC
- Psychiatry & Neurology, Addiction Medicine 2084A0401X · License HFD01-0212 DC
- Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry 2084B0040X · License HFD01-0212 DC
- Counselor 101Y00000X · License HFD01-0212 DC
- Psychiatry & Neurology, Neurology 2084N0400X · Primary · License HFD01-0212 DC
In this directory
DC District of Columbia Washington Psychiatry & Neurology, Neurology
Locations and evidence
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Practice location
WASHINGTON, DC, 20017
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.