=====================================================
General NPI Number Information
=====================================================
NPI Number | 1265302228
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SECTOR MEDICAL GROUP
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/06/2025
-----------------------------------------------------
Last Update Date | 11/12/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 700 PENNSYLVANIA AVE SE
-----------------------------------------------------
City | WASHINGTON
-----------------------------------------------------
State | DC
-----------------------------------------------------
Zip | 20003-2493
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 240-253-1978
-----------------------------------------------------
Fax | 240-253-1978
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 45 L ST SW UNIT 70083
-----------------------------------------------------
City | WASHINGTON
-----------------------------------------------------
State | DC
-----------------------------------------------------
Zip | 20024-7503
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 240-253-1978
-----------------------------------------------------
Fax | 240-253-1978
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OFFICE MANAGER
-----------------------------------------------------
Name | MR. WILLIAM MELVIN JR.
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 240-253-1978
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LP0808X
-----------------------------------------------------
Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------