Healthcare Provider Details

I. General information

NPI: 1982933800
Provider Name (Legal Business Name): PHOEBE L MAY PSY,D., M.ED.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/24/2009
Last Update Date: 09/03/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2200 PENNSYLVANIA AVNUE, NW
WASHINGTON DC
20006
US

IV. Provider business mailing address

PO BOX 92904
WASHINGTON DC
20090-2904
US

V. Phone/Fax

Practice location:
  • Phone: 202-251-2264
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TA0400X
TaxonomyAddiction (Substance Use Disorder) Psychologist
License NumberPSY1000704
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code103TA0700X
TaxonomyAdult Development & Aging Psychologist
License NumberPSY1000704
License Number StateDC
# 3
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY1000704
License Number StateDC
# 4
Primary TaxonomyN
Taxonomy Code103TM1800X
TaxonomyIntellectual & Developmental Disabilities Psychologist
License NumberPSY1000704
License Number StateDC
# 5
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number05001
License Number StateMD
# 6
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number05001
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: