National Provider Identifier Database

PHS BEHAVIORAL MEDICINE
Addiction Medicine

A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine


Contact Information

PHS BEHAVIORAL MEDICINE
1053 BUCHANAN ST NE
SUITE 055
WASHINGTON, DC20017-2712
Phone: 202-269-7626
Fax: 202-269-7616
Website:
Specialty Taxonomy Code
* Addiction Medicine 2084A0401X
General Acute Care Hospital 282N00000X
Neurology 2084N0400X

* Indicates primary specialty

NPI Profile & details for PHS BEHAVIORAL MEDICINE

NPI Number 1396012837
Legal business name
LBN
PHS BEHAVIORAL MEDICINE
Authorized official CHARLES HABERKERN - (VP)
Entity Organization
Organization subpart Yes
Enumeration date 11/29/2011
Last updated 09/06/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers
  • DC License #: HFD01-0112
  • DC License #: HFD01-0212
  • DC Medicaid: 029833400
  • MD Medicaid: 005145400
  • VA Medicaid: 09810714

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for PHS BEHAVIORAL MEDICINE

There are currently no reviews for PHS BEHAVIORAL MEDICINE


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