| Metropolitan Behavioral Health Care, Llc | |
|
910 17th St Nw Suite 306 Washington DC 20006-2601 | |
| (202) 452-6257 | |
| (202) 530-0744 |
| Full Name | Metropolitan Behavioral Health Care, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 910 17th St Nw, Washington, District Of Columbia |
| Authorized Official Name and Position | Ronald Lee Kimball (OWNER) |
| Authorized Official Contact | 2024526257 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Metropolitan Behavioral Health Care, Llc 8811 Colesville Rd Suite 104 Silver Spring MD 20910-4343 Ph: (301) 585-5539 | Metropolitan Behavioral Health Care, Llc 910 17th St Nw Suite 306 Washington DC 20006-2601 Ph: (202) 452-6257 |
| NPI Number | 1932389723 |
|---|---|
| Provider Enumeration Date | 11/08/2007 |
| Last Update Date | 11/08/2007 |
| Medicare PECOS PAC ID | 7911023296 |
|---|---|
| Medicare Enrollment ID | O20100923000955 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932389723 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSYC826 (District Of Columbia) | Primary |
| Provider Name | Ronald L Kimball |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356433734 PECOS PAC ID: 5991821290 Enrollment ID: I20100923001150 |
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