MEDICARE: GEORGETOWN UNIVERSITY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	103TC0700X	Clinical Psychologist
2	2084P0800X	Psychiatry Physician
3	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1457569931
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GEORGETOWN UNIVERSITY

Provider Business Mailing Address
First Line	:	37TH AND O STS NW
Second Line	:	1 DARNALL HALL BOX 571105
City	:	WASHINGTON
State	:	DC
Zip	:	20057-1105
Country	:	US
Telephone Number	:	202-687-6985
Fax Number	:	202-687-6158

Provider Business Practice Location Address
First Line	:	37TH AND O STS NW
Second Line	:	1 DARNALL HALL
City	:	WASHINGTON
State	:	DC
Zip	:	20057-1105
Country	:	US
Telephone Number	:	202-687-6985
Fax Number	:	202-687-6158

Authorized Official
Title or Position	:	DIRECTOR
Name	:	DR. PHILIP W. MEILMAN
Credential	:	PH.D.
Telephone Number	:	202-687-6985

Provider Enumeration Date	:	05/18/2007
Last Update Date	:	09/11/2025

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Directions to “GEORGETOWN UNIVERSITY ” Practice Location

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