Providence Health Services Inc
Health Service - Psychology Clinic
1160 Varnum St Ne, Washington
District Of Columbia, 20017-2107
202-854-7000 202-269-7160
Maps & DirectionsProvidence Health Services Inc is a Health Service - Psychology Clinic in Washington, District Of Columbia. This organization is also known as sub part of Providence Hospital. It is located at 1160 Varnum St Ne, Washington, DC and its contact number is 202-854-7000. The authorized person for Providence Health Services Inc is Mr. Mitchell Lomax
who is Vice President/cfo of the clinic and his/her contact number is 667-234-2926.
Providence Health Services Inc Clinic is certified/licensed at the independent practice level in his/her state, and is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
Complete Clinic Profile:
Providence Health Services Inc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Providence Health Services Inc |
| Specialization: | Health Service Psychology |
| Clinic Address: | 1160 Varnum St Ne, Washington,
District Of Columbia, 20017-2107 |
| Phone: | 202-854-7000 |
| Fax: | 202-269-7160 |
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. Mitchell Lomax |
| Position: | Vice President/cfo |
| Contact Number: | 667-234-2926 |
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 Providence Health Services Inc clinic are as mentioned below.
| NPI Number: | 1669453809 |
| Parent Organization: | Providence Hospital |
| NPI Enumeration Date: | 06 Nov, 2005 |
| NPI Last Update On: | 01 Nov, 2023 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Providence Health Services Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Family Medicine | | | Primary | |
| Health Service | | | Secondary | |
| Internal Medicine | | | Secondary | |
| Surgery | | | Secondary | |
| Hospitalist | | | Secondary | |
| Case Management | HFD01-0212 | District Of Columbia | Secondary | |
| Nurse Practitioner | | | 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 |
| 023435102 | Medicaid | District Of Columbia | |
| 023435100 | Medicaid | District Of Columbia | |
| 080352200 | Medicaid | District Of Columbia | |
| 5485215 00 | Medicaid | District Of Columbia | |
| 023435101 | Medicaid | Maryland | |
| 5485215 01 | Medicaid | Maryland | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Providence Health Services Inc
1150 Varnum St Ne, Administration 4th Floor
Washington, District Of Columbia |
| Zip: | 20017-2149 |
| Phone Number: | 202-854-4255 |
| Fax Number: | 202-854-7160 |
Patients can reach Providence Health Services Inc at
1160 Varnum St Ne, Washington, District Of Columbia or can
call to book an appointment on 202-854-7000.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 July, 2026.