Healthcare Provider Details

I. General information

NPI: 1538063169
Provider Name (Legal Business Name): KATHERINE JANE BARRASSO M.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

420 RIDGE ST NW
WASHINGTON DC
20001-4622
US

IV. Provider business mailing address

1415 RHODE ISLAND AVE NW APT 321
WASHINGTON DC
20005-5404
US

V. Phone/Fax

Practice location:
  • Phone: 202-570-4446
  • Fax:
Mailing address:
  • Phone: 908-967-0113
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: