NPIMap

Organization Active NPI

Alexandria Community Services Board

  • Community/Behavioral Health Agency
  • Alexandria, VA
National Provider Identifier
1043483415
Registry record updated Apr 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
0101033931 Issued in VA
Legal business name
ALEXANDRIA COMMUNITY SERVICES BOARD
Practice address
2355A Mill Rd
Alexandria, VA 22314-4608
Phone
(703) 838-4455
NPI assigned
Apr 8, 2008
Organization subpart
Yes
Parent organization
ALEXANDRIA COMMUNITY SERVICES BOARDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 8, 2008

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

Authorized official

Name
Michael Gilmore, PHD
Title
Executive Director
Phone
(703) 838-4455

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 0101033931 VA Primary

Addresses

Primary practice location

2355A Mill Rd
Alexandria, VA 22314-4608

Mailing address

2355A Mill Rd
Alexandria, VA 22314-4608
Phone (703) 838-4455

Other identifiers 2

IdentifierTypeStateIssuer
10233662OtherVAAMERIGROUP CORP
0093OtherVACAREFIRST BCBS

Other names 1

  • Kurt Brandt, MD Other name

National Provider Directory

National Provider Directory
Tax ID family
CSW Alex Comm Mental HL7 organizations share this tax ID, including this one
Part of
CSW Alex Comm Mental HL

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2355A Mill Rd
Alexandria, VA 22314
Phone (703) 746-3620

Practitioners & affiliated clinicians

Practitioners 4

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": "1207612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207612800000",
    "number": "1043483415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2355A MILL RD",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223144608",
            "telephone_number": "703-838-4455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2355A MILL RD",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223144608",
            "telephone_number": "703-838-4455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXANDRIA COMMUNITY SERVICES BOARD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALEXANDRIA COMMUNITY SERVICES BOARD",
        "enumeration_date": "2008-04-08",
        "last_updated": "2008-04-08",
        "status": "A",
        "authorized_official_last_name": "GILMORE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "703-838-4455",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "0101033931",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP CORP",
            "identifier": "10233662",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS",
            "identifier": "0093",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kurt Brandt, MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; 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.