Organization Active NPI

Behavioral Health of Northern Virginia

  • Psychosomatic Medicine Physician
  • Fairfax, VA
National Provider Identifier
1043074222
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychosomatic Medicine PhysicianTaxonomy code 2084P0015X
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

Updated by the provider on Feb 8, 2024

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

Authorized official

Name
Sumerta ManchandaniNPI 1649613902
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)CodeLicenseStatePrimary
Psychosomatic Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.