Active NPI
Behavioral Health of Northern Virginia
- Psychosomatic Medicine Physician
- Fairfax, VA
National Provider Identifier
1043074222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychosomatic Medicine Physician
- Legal business name
- BEHAVIORAL HEALTH OF NORTHERN VIRGINIA
- Practice address
- 8300 Arlington Blvd Ste G1
Fairfax, VA 22031-5209 - Phone
- (571) 306-1481
- NPI assigned
- Feb 8, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sumerta Manchandani
- Title
- Owner
- Phone
- (571) 306-1481
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychosomatic Medicine Physician | 2084P0015X | Primary |
Addresses
Primary practice location
8300 Arlington Blvd Ste G1
Fairfax, VA 22031-5209
Mailing address
8300 Arlington Blvd Ste G1
Fairfax, VA 22031-5209
National Provider Directory
National Provider DirectoryLocations
8300 Arlington Blvd
Ste G1
Fairfax, VA 22031
Phone (202) 810-5022
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychosomatic Medicine Physician
- Fairfax, VA
- NPI 1649613902
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707350400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1707350400000",
"number": "1043074222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8300 ARLINGTON BLVD STE G1",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220315209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8300 ARLINGTON BLVD STE G1",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220315209",
"telephone_number": "571-306-1481"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEHAVIORAL HEALTH OF NORTHERN VIRGINIA",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-08",
"last_updated": "2024-02-08",
"certification_date": "2024-02-08",
"status": "A",
"authorized_official_last_name": "MANCHANDANI",
"authorized_official_first_name": "SUMERTA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "571-306-1481"
},
"taxonomies": [
{
"code": "2084P0015X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychosomatic Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.