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NPI Code Detail

MEDICARE: HILLCREST CHILDREN'S CENTER

MEDICARE: HILLCREST CHILDREN'S CENTER
Medicare Provider Information

Scope of Practice

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

# Taxonomy Code Taxonomy License Number License Number State
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)036525600DC
2261QR0405XSubstance Use Disorder Rehabilitation Clinic/Center
3261QM0855XAdolescent and Children Mental Health Clinic/Center
4261QM0850XAdult Mental Health Clinic/Center036525600DC
5208D00000XGeneral Practice Physician
6261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)
7261QM0855XAdolescent and Children Mental Health Clinic/Center036525600DC
8261QM0850XAdult Mental Health Clinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1740319854
Entity Type Code : Organization
Provider Name (Legal Business Name) : HILLCREST CHILDREN'S CENTER
Provider Business Mailing Address
First Line : 915 RHODE ISLAND AVE NW
Second Line :
City : WASHINGTON
State : DC
Zip : 20001-4153
Country : US
Telephone Number : 202-232-6100
Fax Number : 202-232-0301
Provider Business Practice Location Address
First Line : 915 RHODE ISLAND AVE NW
Second Line :
City : WASHINGTON
State : DC
Zip : 20001-4153
Country : US
Telephone Number : 202-232-6100
Fax Number : 202-232-0310
Authorized Official
Title or Position : CHIEF OPERATING OFFICER
Name : STACEY BERNADEAU
Credential :
Telephone Number : 202-232-6100
Provider Enumeration Date : 03/05/2007
Last Update Date : 09/05/2025

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1558604421 — MISS KEDEMAH JOSEPH-FAGBUYI FNP, PMHNP
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1508293432 — JENNIFER GUNN MONSALVE
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Directions to “HILLCREST CHILDREN'S CENTER ” Practice Location

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