Physician Compare National (NPI:1386196970)

HEALTHCARE PROVIDER: JOSHUA DESILVA PSY.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1386196970
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5991049850
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20200729001195
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	DESILVA
	Individual professional last name
Provider First Name	JOSHUA
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	2016
	Individual professional's medical school graduation year
Primary Specialty	PSYCHOLOGIST, CLINICAL
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	240 GOOCH DR
	Group Practice or individual's line 1 address
Line 2 Street Address	2ND FLOOR
	Group Practice or individual's line 2 address
City	WILLIAMSBURG
	Group Practice or individual's city
State	VA
	Group Practice or individual's state
Zip Code	231850003
	Group Practice or individual's zip code (9 digits when available)
Phone Number	2026701605
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y