Kelvin Draine
Psychologist (Health Service)

Address: 4800 Nannie Helen Burroughs Ave Ne Apt 503, Washington, DC 20019-3772
Phone: 2025535555

Kelvin Draine (NPI# 1396383287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1396383287
Entity Type Individual
Full Name Kelvin Draine
Gender Male
Practice Address 4800 Nannie Helen Burroughs Ave Ne Apt 503
DC 20019-3772
Practice Telephone 2025535555
Mailing Address 3535 21st St Se
DC 20020-6110
Mailing Telephone 2405738812
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2019-12-11
Last Update Date 2019-12-11

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 103TH0100X Psychologist · Health Service Behavioral Health & Social Service Providers

Taxonomy Information

Taxonomy Code 103TH0100X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Health Service

Taxonomy Definition

A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
Notes: Source: National Register of Health Service Providers in Psychology website [7/1/2006: modified title, added definition]

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Office Location

State DC
Zip Code 20019-3772

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Zip Code 20019

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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