Phs Behavioral Medicine
Neurology Clinic
1053 Buchanan St Ne, Suite 055, Washington
District Of Columbia, 20017-2712
202-269-7626 202-269-7616
Maps & DirectionsPhs Behavioral Medicine is a Neurology Clinic in Washington, District Of Columbia. This organization is also known as sub part of Providence Hospital. It is located at 1053 Buchanan St Ne, Suite 055, Washington, DC and its contact number is 202-269-7626. The authorized person for Phs Behavioral Medicine is Mr. Charles F Haberkern
who is Vp of the clinic and his/her contact number is 202-854-4255. The primary license number for Phs Behavioral Medicine is HFD01-0212 (Addiction Medicine) in District Of Columbia.
Phs Behavioral Medicine Clinic specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Complete Clinic Profile:
Phs Behavioral Medicine Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Phs Behavioral Medicine |
| Specialization: | Neurology |
| Clinic Address: | 1053 Buchanan St Ne, Suite 055, Washington,
District Of Columbia, 20017-2712 |
| Phone: | 202-269-7626 |
| Fax: | 202-269-7616 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Mr. Charles F Haberkern |
| Position: | Vp |
| Contact Number: | 202-854-4255 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Phs Behavioral Medicine clinic are as mentioned below.
| NPI Number: | 1396012837 |
| Parent Organization: | Providence Hospital |
| NPI Enumeration Date: | 29 Nov, 2011 |
| NPI Last Update On: | 06 Sep, 2016 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Phs Behavioral Medicine are as mentioned below.
| Specialization | License Number | State | Status | |
| Addiction Medicine | HFD01-0212 | District Of Columbia | Primary | |
| Neurology | HFD01-0212 | District Of Columbia | Secondary | |
| General Acute Care Hospital | HFD01-0112 | District Of Columbia | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 005145400 | Medicaid | Maryland | |
| 09810714 | Medicaid | Virginia | |
| 029833400 | Medicaid | District Of Columbia | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Phs Behavioral Medicine
1150 Varnum St Ne, St Catherine's Hall, Room 102
Washington, District Of Columbia |
| Zip: | 20017-2104 |
| Phone Number: | 202-854-4069 |
| Fax Number: | 202-854-7825 |
Patients can reach Phs Behavioral Medicine at
1053 Buchanan St Ne, Suite 055, Washington, District Of Columbia or can
call to book an appointment on 202-269-7626.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.