NJB Behavioral Health

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

NJB BEHAVIORAL HEALTH

Practice address

2800 Eisenhower Ave Ste 220
Alexandria, VA 22314-4587

Phone

(703) 598-4115

NPI assigned

Dec 13, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Georgina Coca, PMHNPNPI 1730782319

Title

Owner/Authorize Official

Phone

(703) 598-4115

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Georgina Coca, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Alexandria, VA
  • NPI 1730782319
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1734048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734048000000",
    "number": "1003623067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17600 BARRON HEIGHTS RD",
            "city": "DUMFRIES",
            "state": "VA",
            "postal_code": "220252054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 EISENHOWER AVE STE 220",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223144587",
            "telephone_number": "703-598-4115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NJB BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-13",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A",
        "authorized_official_last_name": "COCA",
        "authorized_official_first_name": "GEORGINA",
        "authorized_official_title_or_position": "OWNER/AUTHORIZE OFFICIAL",
        "authorized_official_telephone_number": "703-598-4115",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric/Mental Health Nurse Practitioner in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.