NPIMap

Organization Active NPI

Reston Psychological Center, P.C.

  • Mental Health Counselor
  • Reston, VA
National Provider Identifier
1013052927
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
RESTON PSYCHOLOGICAL CENTER, P.C.
Practice address
1800 Town Center Dr
Suite 411
Reston, VA 20190-3215
Phone
(703) 437-3236
Fax
(703) 435-7422
NPI assigned
Feb 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Arnold C. Small, PH.D.NPI 1306957121
Title
President
Phone
(703) 437-3236

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1800 Town Center Dr
Suite 411
Reston, VA 20190-3215

Mailing address

1800 Town Center Dr
Suite 411
Reston, VA 20190-3215
Phone (703) 437-3236

Other identifiers 2

IdentifierTypeStateIssuer
351885OtherVANCPPO
071019OtherVAANTHEM BCBS

National Provider Directory

National Provider Directory

Locations

1800 Town Center Dr
Ste 411
Reston, VA 20190
Phone (703) 437-3236

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013052927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 TOWN CENTER DR",
            "address_2": "SUITE 411",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201903215",
            "telephone_number": "703-437-3236",
            "fax_number": "703-435-7422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 TOWN CENTER DR",
            "address_2": "SUITE 411",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201903215",
            "telephone_number": "703-437-3236",
            "fax_number": "703-435-7422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTON PSYCHOLOGICAL CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMALL",
        "authorized_official_first_name": "ARNOLD",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-437-3236",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPPO",
            "identifier": "351885",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "071019",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reston, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.