Healthcare Provider Details

I. General information

NPI: 1700906906
Provider Name (Legal Business Name): WASHINGTON PSYCHOLOGICAL CENTER, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/30/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5225 WISCONSIN AVE NW SUITE 513
WASHINGTON DC
20015-2014
US

IV. Provider business mailing address

5225 WISCONSIN AVE NW SUITE 513
WASHINGTON DC
20015-2014
US

V. Phone/Fax

Practice location:
  • Phone: 202-364-1575
  • Fax: 202-364-0561
Mailing address:
  • Phone: 202-364-1575
  • Fax: 202-364-0561

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number StateDC
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateDC

VIII. Authorized Official

Name: DR. MICHAEL L HENDRICKS
Title or Position: CLINICAL PSYCHOLOGIST
Credential: PH.D.
Phone: 202-364-1575