Green Door, Inc.
Green Door, Inc. is a healthcare organization registered as Psychiatry Physician in Washington, DC, holding Type 2 (organization) NPI 1073659140 since 2007. The authorized official on file is Michael Clancy, Deputy Director.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1073659140 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Green Door, Inc. |
| Practice address | 1221 TAYLOR ST NW, Washington, DC, 20011 |
| Phone | 2024649200 |
| Fax | 2024645740 |
| Enumeration date | 2007-01-29 |
| Last updated in NPPES | 2020-08-22 |
Authorized official
| Name | Michael Clancy |
|---|---|
| Title | Deputy Director |
| Phone | 2024649200 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 2084P0800X | Psychiatry Physician | Primary | MD33367 | DC |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 23653 | Other | DC | CHARTERED HEALTH PLAN |
| 281810 | Other | DC | AMERIGROUP (MEDICAID MCO) |
| 5181 | Other | DC | HEALTHRIGHT (MEDICAID MCO |
Copy-ready billing details
Provider: Green Door, Inc. NPI: 1073659140 Taxonomy: 2084P0800X (Psychiatry Physician) Address: 1221 TAYLOR ST NW, Washington, DC, 20011
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1598798662 | Ikechi Nnawuchi | Individual | Psychiatry Physician | Washington, DC |
| 1124102488 | Linda Mccullough | Individual | Professional Counselor | Washington, DC |
| 1891841391 | Green Door, Inc. | Organization | Professional Counselor | Washington, DC |
| 1982740056 | Green Door, Inc | Organization | Clinical Social Worker | Washington, DC |
| 1790821866 | Green Door, Inc. | Organization | Addiction (Substance Use Disorder) Counselor | Washington, DC |
| 1134261415 | Sharon Miller | Individual | Clinical Social Worker | Washington, DC |
| 1982746384 | Eugenia Priddy | Individual | Psychiatry Physician | Washington, DC |
| 1952443269 | Diane Manwill | Individual | Professional Counselor | Washington, DC |
Verify this record
Cross-check NPI 1073659140 against the authoritative CMS record: view Green Door, Inc. on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Where is Green Door, Inc. located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.