Healthcare Provider Details

I. General information

NPI: 1477247344
Provider Name (Legal Business Name): NADINE TAGHIAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2023
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5225 WISCONSIN AVE NW STE 400
WASHINGTON DC
20015-2055
US

IV. Provider business mailing address

2514 17TH ST NW UNIT 2
WASHINGTON DC
20009-8831
US

V. Phone/Fax

Practice location:
  • Phone: 202-363-1010
  • Fax:
Mailing address:
  • Phone: 781-929-1019
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSYA200001802
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: