Provider Demographics
NPI:1427303197
Name:METROPOLITAN THERAPEUTIC SERVICES, INC.
Entity type:Organization
Organization Name:METROPOLITAN THERAPEUTIC SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MILDRED
Authorized Official - Middle Name:NAMLE
Authorized Official - Last Name:NTI
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:202-302-0448
Mailing Address - Street 1:1425 K ST NW
Mailing Address - Street 2:SUITE #350
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20005-3500
Mailing Address - Country:US
Mailing Address - Phone:202-302-0448
Mailing Address - Fax:
Practice Address - Street 1:1425 K ST NW
Practice Address - Street 2:SUITE #350
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20005-3500
Practice Address - Country:US
Practice Address - Phone:202-302-0448
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-19
Last Update Date:2012-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPRC13770101YP2500X
DCPRC1370101YP2500X
DCPRC173101YP2500X
MD04859103TC0700X
DCMD220042084P0800X
DCCN1000286363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty