Downloadable HSCSN Provider Directories
If you would prefer to look at the entire list of primary care and specialty providers within the HSCSN network, you can download the Provider Directory.
Selecting a Doctor or Dentist
Choosing your Primary Care Provider (PCP) and dentist is one of the most important things you will do as an enrollee. If you have not chosen a doctor yet, use these steps to get started.
Step One: Think about the needs of your family
- Do you want to keep your current doctor or dentist? Check to see if your doctors are part of the HSCSN network. If so, you may keep that doctor.
- Is it important for doctors to be close to home or work?
- Do you prefer one hospital to another? Download the list on this page or call Customer Care at (202) 467-2737 or 1 (866) 937-4549 for a list of hospitals where primary care providers (PCPs) and dentists can send patients for treatment.
- Some doctors may not be taking new patients. HSCSN will let you know if you need to pick a different doctor.
Step Two: Choose a PCP and dentist for every HSCSN enrollee in your family
- See what health care services HSCSN covers »
- If your current doctors or dentists are not part of the HSCSN network, download the provider list to find a provider in our network.
- There may be HSCSN enrollees in your family who don’t have a PCP or dentist. You can choose one from the list of doctors above.
If you have a question about whether HSCSN covers certain health care, call Customer Care at (202) 467-2737 or 1 (866) 937-4549.
If you need to change your PCP or Dentist
You can change your PCP or dentist anytime, for any reason. To do this:
- Download the list on this page to find a new PCP or dentist.
- Call your Care Manager to let them know which doctor or dentist you have selected as your new PCP.
Health Care Services Covered by HSCSN

See what health care services are covered by the HSCSN health plan.
Vikram Nayar, MD
Gender Male
Mon-Fri 8:30A - 5P
Vikram Nayar also speaks English
3800 Reservoir Road, NW
Pasquerilla Healthcare Center 7th Floor Neurosurgery
Washington, DC 20007
Get Directions
MedStar Georgetown University Hospital
MedStar Georgetown University Hospital
Ward 2
Additional Information
Vikram Nayar is ADA Accessible
Vikram Nayar is
Accepting new patients
Vikram Nayar is Near public transportation
Vikram Nayar has Cultural competency
Brandon Nehus, ABA
Gender Male
Mon-Fri 8:30A - 5P
Brandon Nehus also speaks English
Adolescents, Autism Spectrum Disorders, Children
1050 Connecticut Avenue, NW
Suite 500
Washington, DC 20036
Get Directions
Attain ABA
None
Ward 2
Additional Information
Brandon Nehus is ADA Accessible
Brandon Nehus is
Accepting new patients
Brandon Nehus is Near public transportation
Brandon Nehus has Cultural competency
Matthew Ng, MD
Gender Male
Mon-Fri 8:30A - 5P
Matthew Ng also speaks English
2150 Pennsylvania Avenue, NW
Washington, DC 20037
Get Directions
Medical Faculty Associates
George Washington University Hospital
Ward 2
Additional Information
Matthew Ng is ADA Accessible
Matthew Ng is
Accepting new patients
Matthew Ng is Near public transportation
Matthew Ng has Cultural competency
Brian Nguyen, MD
Gender Male
Mon-Fri 8:30A - 5P
Brian Nguyen also speaks English
3800 Reservoir Road, NW
Pasquerilla Healthcare Center 2nd Floor
Washington, DC 20007
Get Directions
MedStar Georgetown University Hospital
MedStar Georgetown University Hospital
Ward 2
Additional Information
Brian Nguyen is ADA Accessible
Brian Nguyen is
Accepting new patients
Brian Nguyen is Near public transportation
Brian Nguyen has Cultural competency
Ehsan Nobakht-Haghighi, MD
Gender Male
Mon-Fri 8:30A - 5P
Ehsan Nobakht-Haghighi also speaks English
900 23rd Street, NW
Washington, DC 20037
Get Directions
Medical Faculty Associates
George Washington University Hospital
Ward 2
Additional Information
Ehsan Nobakht-Haghighi is ADA Accessible
Ehsan Nobakht-Haghighi is
Accepting new patients
Ehsan Nobakht-Haghighi is Near public transportation
Ehsan Nobakht-Haghighi has Cultural competency
Ehsan Nobakht-Haghighi, MD
Gender Male
Mon-Fri 8:30A - 5P
Ehsan Nobakht-Haghighi also speaks English
2150 Pennsylvania Avenue, NW
Washington, DC 20037
Get Directions
Medical Faculty Associates
George Washington University Hospital
Ward 2
Additional Information
Ehsan Nobakht-Haghighi is ADA Accessible
Ehsan Nobakht-Haghighi is
Accepting new patients
Ehsan Nobakht-Haghighi is Near public transportation
Ehsan Nobakht-Haghighi has Cultural competency
Edwin Numsuwan, MD
Gender Male
Mon-Fri 8:30A - 5P
Edwin Numsuwan also speaks English
3800 Reservoir Road, NW
Pasquerilla Healthcare Center 4th Floor
Washington, DC 20007
Get Directions
National Rehabilitation Hospital
MedStar National Rehabilitation Hospital
Ward 2
Additional Information
Edwin Numsuwan is ADA Accessible
Edwin Numsuwan is
Accepting new patients
Edwin Numsuwan is Near public transportation
Edwin Numsuwan has Cultural competency
Vincent Obias, MD
Gender Male
Mon-Fri 8:30A - 5P
Vincent Obias also speaks English
2150 Pennsylvania Avenue, NW
Washington, DC 20037
Get Directions
Medical Faculty Associates
George Washington University Hospital
Ward 2
Additional Information
Vincent Obias is ADA Accessible
Vincent Obias is
Accepting new patients
Vincent Obias is Near public transportation
Vincent Obias has Cultural competency
Kevin O'Connor, DO
Gender Male
Mon-Fri 8:30A - 5P
Kevin O'Connor also speaks English
2150 Pennsylvania Avenue, NW
Washington, DC 20037
Get Directions
Medical Faculty Associates
George Washington University Hospital
Ward 2
Additional Information
Kevin O'Connor is ADA Accessible
Kevin O'Connor is
Accepting new patients
Kevin O'Connor is Near public transportation
Kevin O'Connor has Cultural competency
Martin Ojong-Ntui, MD
Gender Male
Mon-Fri 8:30A - 5P
Martin Ojong-Ntui also speaks English
Chronic Illness
900 23rd Street, NW
Washington, DC 20037
Get Directions
Medical Faculty Associates
George Washington University Hospital
Ward 2
Additional Information
Martin Ojong-Ntui is ADA Accessible
Martin Ojong-Ntui is
Accepting new patients
Martin Ojong-Ntui is Near public transportation
Martin Ojong-Ntui has Cultural competency
Martin Ojong-Ntui, MD
Gender Male
Mon-Fri 8:30A - 5P
Martin Ojong-Ntui also speaks English
2150 Pennsylvania Avenue, NW
Washington, DC 20037
Get Directions
Medical Faculty Associates
George Washington University Hospital
Ward 2
Additional Information
Martin Ojong-Ntui is ADA Accessible
Martin Ojong-Ntui is
Accepting new patients
Martin Ojong-Ntui is Near public transportation
Martin Ojong-Ntui has Cultural competency
Michael Olding, MD
Gender Male
Mon-Fri 8:30A - 5P
Michael Olding also speaks English
2300 M Street, NW
6th Floor
Washington, DC 20037
Get Directions
Medical Faculty Associates
George Washington University Hospital
Ward 2
Additional Information
Michael Olding is ADA Accessible
Michael Olding is
Accepting new patients
Michael Olding is Near public transportation
Michael Olding has Cultural competency
Benjamin Osborne, MD
Gender Male
Mon-Fri 8:30A - 5P
Benjamin Osborne also speaks English
3800 Reservoir Road, NW
Pasquerilla Healthcare Center 7th Floor Neurosurgery
Washington, DC 20007
Get Directions
MedStar Georgetown University Hospital
MedStar Georgetown University Hospital
Ward 2
Additional Information
Benjamin Osborne is ADA Accessible
Benjamin Osborne is
Accepting new patients
Benjamin Osborne is Near public transportation
Benjamin Osborne has Cultural competency
John Pahira, MD
Gender Male
Mon-Fri 8:30A - 5P
John Pahira also speaks English
3800 Reservoir Road, NW
Pasquerilla Healthcare Center 4th Floor
Washington, DC 20007
Get Directions
MedStar Medical Group Urology
MedStar Georgetown University Hospital
Ward 2
Additional Information
John Pahira is ADA Accessible
John Pahira is
Accepting new patients
John Pahira is Near public transportation
John Pahira has Cultural competency
Maoyin Pang, MD
Gender Male
Mon-Fri 8:30A - 5P
Maoyin Pang also speaks English
1133 21st Street, NW
Building 2 6th Floor
Washington, DC 20036
Get Directions
MedStar Medical Group Gastroenterology
MedStar Georgetown University Hospital
Ward 2
Additional Information
Maoyin Pang is ADA Accessible
Maoyin Pang is
Accepting new patients
Maoyin Pang is Near public transportation
Maoyin Pang has Cultural competency
Maoyin Pang, MD
Gender Male
Mon-Fri 8:30A - 5P
Maoyin Pang also speaks English
3800 Reservoir Road, NW
Main Building 2nd Floor
Washington, DC 20007
Get Directions
MedStar Medical Group Gastroenterology
MedStar Georgetown University Hospital
Ward 2
Additional Information
Maoyin Pang is ADA Accessible
Maoyin Pang is
Accepting new patients
Maoyin Pang is Near public transportation
Maoyin Pang has Cultural competency
Gurusher Panjrath, MD
Gender Male
Mon-Fri 8:30A - 5P
Gurusher Panjrath also speaks English
2150 Pennsylvania Avenue, NW
Washington, DC 20037
Get Directions
Medical Faculty Associates
George Washington University Hospital
Ward 2
Additional Information
Gurusher Panjrath is ADA Accessible
Gurusher Panjrath is
Accepting new patients
Gurusher Panjrath is Near public transportation
Gurusher Panjrath has Cultural competency
Komal Patel, DO
Gender Male
Mon-Fri 8:30A - 5P
Komal Patel also speaks English
2150 Pennsylvania Avenue, NW
Washington, DC 20037
Get Directions
Medical Faculty Associates
George Washington University Hospital
Ward 2
Additional Information
Komal Patel is ADA Accessible
Komal Patel is
Accepting new patients
Komal Patel is Near public transportation
Komal Patel has Cultural competency
Sahir Patel, MD
Gender Male
Mon-Fri 8:30A - 5P
Sahir Patel also speaks English
3800 Reservoir Road, NW
Washington, DC 20007
Get Directions
MedStar Georgetown University Hospital
MedStar Georgetown University Hospital
Ward 2
Additional Information
Sahir Patel is ADA Accessible
Sahir Patel is
Accepting new patients
Sahir Patel is Near public transportation
Sahir Patel has Cultural competency
Geet Paul, MD
Gender Male
Mon-Fri 8:30A - 5P
Geet Paul also speaks English
2131 K Street, NW
Suite 600
Washington, DC 20037
Get Directions
Medical Faculty Associates
George Washington University Hospital
Ward 2
Additional Information
Geet Paul is ADA Accessible
Geet Paul is
Accepting new patients
Geet Paul is Near public transportation
Geet Paul has Cultural competency
Geet Paul, MD
Gender Male
Mon-Fri 8:30A - 5P
Geet Paul also speaks English
2150 Pennsylvania Avenue, NW
Washington, DC 20037
Get Directions
Medical Faculty Associates
George Washington University Hospital
Ward 2
Additional Information
Geet Paul is ADA Accessible
Geet Paul is
Accepting new patients
Geet Paul is Near public transportation
Geet Paul has Cultural competency
Courtney Paul, MD
Gender Male
Mon-Fri 8:30A - 5P
Courtney Paul also speaks English
900 23rd Street, NW
Washington, DC 20037
Get Directions
Medical Faculty Associates
George Washington University Hospital
Ward 2
Additional Information
Courtney Paul is ADA Accessible
Courtney Paul is
Accepting new patients
Courtney Paul is Near public transportation
Courtney Paul has Cultural competency
David Pearle, MD
Gender Male
Mon-Fri 8:30A - 5P
David Pearle also speaks English
3800 Reservoir Road, NW
Pasquerilla Healthcare Center 5th Floor
Washington, DC 20007
Get Directions
MedStar Heart Institute
MedStar Washington Hospital Center
Ward 2
Additional Information
David Pearle is ADA Accessible
David Pearle is
Accepting new patients
David Pearle is Near public transportation
David Pearle has Cultural competency
Andrew Pecora, MD
Gender Male
Mon-Fri 9A - 5P
Andrew Pecora also speaks English
3800 Reservoir Road NW
Washington, DC 20007
Get Directions
Regional Cancer Care
MedStar Georgetown University Hospital
Ward 2
Additional Information
Andrew Pecora is ADA Accessible
Andrew Pecora is
Accepting new patients
Andrew Pecora is Near public transportation
Andrew Pecora has Cultural competency
Morarji Peesay, MD
Gender Male
Mon-Fri 8:30A - 5P
Morarji Peesay also speaks English
3800 Reservoir Road, NW
M3400 - Neonatology
Washington, DC 20007
Get Directions
MedStar Georgetown University Hospital
MedStar Georgetown University Hospital
Ward 2
Additional Information
Morarji Peesay is ADA Accessible
Morarji Peesay is
Accepting new patients
Morarji Peesay is Near public transportation
Morarji Peesay has Cultural competency
Scott Penfil, MD
Gender Male
Mon-Fri 8:30A - 5P
Scott Penfil also speaks English
3800 Reservoir Road, NW
Concentrated Care Center 5th Floor
Washington, DC 20007
Get Directions
MedStar Georgetown University Hospital
MedStar Georgetown University Hospital
Ward 2
Additional Information
Scott Penfil is ADA Accessible
Scott Penfil is
Accepting new patients
Scott Penfil is Near public transportation
Scott Penfil has Cultural competency
George Philips, MD
Gender Male
Mon-Fri 8:30A - 5P
George Philips also speaks English
2150 Pennsylvania Avenue, NW
Washington, DC 20037
Get Directions
Medical Faculty Associates
George Washington University Hospital
Ward 2
Additional Information
George Philips is ADA Accessible
George Philips is
Accepting new patients
George Philips is Near public transportation
George Philips has Cultural competency
George Philips, MD
Gender Male
Mon-Fri 8:30A - 5P
George Philips also speaks English
3800 Reservoir Road, NW
Lombardi Cancer Center
Washington, DC 20007
Get Directions
MedStar Georgetown University Hospital
MedStar Georgetown University Hospital
Ward 2
Additional Information
George Philips is ADA Accessible
George Philips is
Accepting new patients
George Philips is Near public transportation
George Philips has Cultural competency
Michael Phillips, MD
Gender Male
Mon-Fri 8:30A - 5P
Michael Phillips also speaks English
2300 M Street, NW
Suite 210
Washington, DC 20037
Get Directions
Medical Faculty Associates
George Washington University Hospital
Ward 2
Additional Information
Michael Phillips is ADA Accessible
Michael Phillips is
Accepting new patients
Michael Phillips is Near public transportation
Michael Phillips has Cultural competency
Michael Phillips, MD
Gender Male
Mon-Fri 8:30A - 5P
Michael Phillips also speaks English
2300 M Street, NW
9th Floor
Washington, DC 20037
Get Directions
Medical Faculty Associates
George Washington University Hospital
Ward 2
Additional Information
Michael Phillips is ADA Accessible
Michael Phillips is
Accepting new patients
Michael Phillips is Near public transportation
Michael Phillips has Cultural competency
Joshua Phillips, MD
Gender Male
Mon-Fri 8:30A - 5P
Joshua Phillips also speaks English
2150 Pennsylvania Avenue, NW
Washington, DC 20037
Get Directions
Medical Faculty Associates
George Washington University Hospital
Ward 2
Additional Information
Joshua Phillips is ADA Accessible
Joshua Phillips is
Accepting new patients
Joshua Phillips is Near public transportation
Joshua Phillips has Cultural competency
Stanley Pietrak, MD
Gender Male
Mon-Fri 8:30A - 5P
Stanley Pietrak also speaks English
3800 Reservoir Road, NW
Main Building 2nd Floor
Washington, DC 20007
Get Directions
MedStar Medical Group Gastroenterology
None
Ward 2
Additional Information
Stanley Pietrak is ADA Accessible
Stanley Pietrak is
Accepting new patients
Stanley Pietrak is Near public transportation
Stanley Pietrak has Cultural competency
Christopher Pile, MD
Gender Male
Mon-Fri 8:30A - 5P
Christopher Pile also speaks English
2150 Pennsylvania Avenue, NW
3rd Floor
Washington, DC 20037
Get Directions
Medical Faculty Associates
George Washington University Hospital
Ward 2
Additional Information
Christopher Pile is ADA Accessible
Christopher Pile is
Accepting new patients
Christopher Pile is Near public transportation
Christopher Pile has Cultural competency
Dinesh Pillai, MD
Gender Male
Mon-Fri 8:30A - 5P
Dinesh Pillai also speaks English
2150 Pennsylvania Avenue, NW
Washington, DC 20037
Get Directions
Medical Faculty Associates
George Washington University Hospital
Ward 2
Additional Information
Dinesh Pillai is ADA Accessible
Dinesh Pillai is
Accepting new patients
Dinesh Pillai is Near public transportation
Dinesh Pillai has Cultural competency
Hans Pohl, MD
Gender Male
Mon-Fri 8:30A - 5P
Hans Pohl also speaks English
3800 Reservoir Road, NW
Lombardi Cancer Center
Washington, DC 20007
Get Directions
MedStar Georgetown University Hospital
MedStar Georgetown University Hospital
Ward 2
Additional Information
Hans Pohl is ADA Accessible
Hans Pohl is
Accepting new patients
Hans Pohl is Near public transportation
Hans Pohl has Cultural competency
Douglas Postels, MD
Gender Male
Mon-Fri 8:30A - 5P
Douglas Postels also speaks English
3800 Reservoir Road, NW
Pasquerilla Healthcare Center
Washington, DC 20007
Get Directions
MedStar Georgetown University Hospital
MedStar Georgetown University Hospital
Ward 2
Additional Information
Douglas Postels is ADA Accessible
Douglas Postels is
Accepting new patients
Douglas Postels is Near public transportation
Douglas Postels has Cultural competency
William Postma, MD
Gender Male
Mon-Fri 8:30A - 5P
William Postma also speaks English
1120 20th Street, NW
1 South Building Level A
Washington, DC 20036
Get Directions
MedStar Georgetown University Hospital
MedStar National Rehabilitation Hospital
Ward 2
Additional Information
William Postma is ADA Accessible
William Postma is
Accepting new patients
William Postma is Near public transportation
William Postma has Cultural competency
Antonio Puente, PHD
Gender Male
Mon-Fri 8:30A - 5P
Antonio Puente also speaks English
2120 L Street, NW
Suite 600
Washington, DC 20037
Get Directions
Medical Faculty Associates
George Washington University Hospital
Ward 2
Additional Information
Antonio Puente is ADA Accessible
Antonio Puente is
Accepting new patients
Antonio Puente is Near public transportation
Antonio Puente has Cultural competency
Randy Pumphrey, LPC
Gender Male
Mon-Fri 8:30A - 5P
Randy Pumphrey also speaks English
1525 14th Street, NW
Washington, DC 20005
Get Directions
Whitman Walker Health
George Washington University Hospital
Ward 2
Additional Information
Randy Pumphrey is ADA Accessible
Randy Pumphrey is
Accepting new patients
Randy Pumphrey is Near public transportation
Randy Pumphrey has Cultural competency
Sean Pustilnik, MD
Gender Male
Mon-Fri 8:30A - 5P
Sean Pustilnik also speaks English
3800 Reservoir Road, NW
4 North Main
Washington, DC 20007
Get Directions
Georgetown Psychiatry Group
None
Ward 2
Additional Information
Sean Pustilnik is ADA Accessible
Sean Pustilnik is
Accepting new patients
Sean Pustilnik is Near public transportation
Sean Pustilnik has Cultural competency
Khodayar Rais-Bahrami, MD
Gender Male
Mon-Fri 8:30A - 5P
Khodayar Rais-Bahrami also speaks English
2150 Pennsylvania Avenue, NW
Washington, DC 20037
Get Directions
Medical Faculty Associates
George Washington University Hospital
Ward 2
Additional Information
Khodayar Rais-Bahrami is ADA Accessible
Khodayar Rais-Bahrami is
Accepting new patients
Khodayar Rais-Bahrami is Near public transportation
Khodayar Rais-Bahrami has Cultural competency
Dominic Raj, MD
Gender Male
Mon-Fri 8:30A - 5P
Dominic Raj also speaks English
2150 Pennsylvania Avenue, NW
Washington, DC 20037
Get Directions
Medical Faculty Associates
George Washington University Hospital
Ward 2
Additional Information
Dominic Raj is ADA Accessible
Dominic Raj is
Accepting new patients
Dominic Raj is Near public transportation
Dominic Raj has Cultural competency
Bharat Ranganath, MD
Gender Male
Mon-Fri 8:30A - 5P
Bharat Ranganath also speaks English
2300 M Street, NW
6th Floor
Washington, DC 20037
Get Directions
Medical Faculty Associates
George Washington University Hospital
Ward 2
Additional Information
Bharat Ranganath is ADA Accessible
Bharat Ranganath is
Accepting new patients
Bharat Ranganath is Near public transportation
Bharat Ranganath has Cultural competency
Amol Rangnekar, MD
Gender Male
Mon-Fri 8:30A - 5P
Amol Rangnekar also speaks English
3800 Reservoir Road, NW
Pasquerilla Healthcare Center 2nd Floor
Washington, DC 20007
Get Directions
MedStar Georgetown University Hospital
MedStar Georgetown University Hospital
Ward 2
Additional Information
Amol Rangnekar is ADA Accessible
Amol Rangnekar is
Accepting new patients
Amol Rangnekar is Near public transportation
Amol Rangnekar has Cultural competency
Yuan Rao, MD
Gender Male
Mon-Fri 8:30A - 5P
Yuan Rao also speaks English
2150 Pennsylvania Avenue, NW
Washington, DC 20037
Get Directions
Medical Faculty Associates
George Washington University Hospital
Ward 2
Additional Information
Yuan Rao is ADA Accessible
Yuan Rao is
Accepting new patients
Yuan Rao is Near public transportation
Yuan Rao has Cultural competency
Yuan Rao, MD
Gender Male
Mon-Fri 8:30A - 5P
Yuan Rao also speaks English
900 23rd Street, NW
Washington, DC 20037
Get Directions
Medical Faculty Associates
George Washington University Hospital
Ward 2
Additional Information
Yuan Rao is ADA Accessible
Yuan Rao is
Accepting new patients
Yuan Rao is Near public transportation
Yuan Rao has Cultural competency
Jocelyn Rapelyea (Formerly Simon), MD
Gender Male
Mon-Fri 8:30A - 5P
Jocelyn Rapelyea (Formerly Simon) also speaks Thai
3800 Reservoir Road, NW
Lombardi Cancer Center
Washington, DC 20007
Get Directions
MedStar Georgetown University Hospital
MedStar Georgetown University Hospital
Ward 2
Additional Information
Jocelyn Rapelyea (Formerly Simon) is ADA Accessible
Jocelyn Rapelyea (Formerly Simon) is
Accepting new patients
Jocelyn Rapelyea (Formerly Simon) is Near public transportation
Jocelyn Rapelyea (Formerly Simon) has Cultural competency
Patricio Ray, MD
Gender Male
Mon-Fri 8:30A - 5P
Patricio Ray also speaks English
3800 Reservoir Road, NW
Pasquerilla Healthcare Center
Washington, DC 20007
Get Directions
MedStar Georgetown University Hospital
MedStar Georgetown University Hospital
Ward 2
Additional Information
Patricio Ray is ADA Accessible
Patricio Ray is
Accepting new patients
Patricio Ray is Near public transportation
Patricio Ray has Cultural competency
Albert Recio, MD
Gender Male
Mon-Fri 8:30A - 5P
Albert Recio also speaks English
2150 Pennsylvania Avenue, NW
Washington, DC 20037
Get Directions
Medical Faculty Associates
George Washington University Hospital
Ward 2
Additional Information
Albert Recio is ADA Accessible
Albert Recio is
Accepting new patients
Albert Recio is Near public transportation
Albert Recio has Cultural competency
Jonathan Reich, MD
Gender Male
Mon-Fri 8:30A - 5P
Jonathan Reich also speaks English
3800 Reservoir Road, NW
Pasquerilla Healthcare Center
Washington, DC 20007
Get Directions
MedStar Georgetown University Hospital
MedStar Georgetown University Hospital
Ward 2
Additional Information
Jonathan Reich is ADA Accessible
Jonathan Reich is
Accepting new patients
Jonathan Reich is Near public transportation
Jonathan Reich has Cultural competency