Organization Active NPI

Englefieldpsychotherapy, LLC

  • Adult Mental Health Clinic/Center
  • Alexandria, VA
National Provider Identifier
1073258273
Registry record updated May 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
ENGLEFIELDPSYCHOTHERAPY, LLC
Doing business as
EnglefieldPsychotherapy, LLC
Practice address
215 N Payne St
Alexandria, VA 22314-2444
Phone
(703) 307-7855
NPI assigned
May 2, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2022

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

Authorized official

Name
Matthew EnglefieldNPI 1558676833
Title
Owner
Phone
(703) 307-7855

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

215 N Payne St
Alexandria, VA 22314-2444

Mailing address

1017 Dalebrook Dr
Alexandria, VA 22308-2615
Phone (703) 307-7855

Other names 1

  • EnglefieldPsychotherapy, LLC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address matthewenglefield@protonmail.com

National Provider Directory

National Provider Directory

Locations

215 N Payne St
Alexandria, VA 22314
Phone (703) 307-7855

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": "1651449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651449600000",
    "number": "1073258273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 DALEBROOK DR",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223082615",
            "telephone_number": "703-307-7855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 N PAYNE ST",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223142444",
            "telephone_number": "703-307-7855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENGLEFIELDPSYCHOTHERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-02",
        "last_updated": "2022-05-02",
        "certification_date": "2022-05-02",
        "status": "A",
        "authorized_official_last_name": "ENGLEFIELD",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-307-7855"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "matthewenglefield@protonmail.com",
            "affiliation": "N",
            "address_1": "215 N Payne St",
            "city": "Alexandria",
            "state": "VA",
            "country_code": "US",
            "postal_code": "223142444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "EnglefieldPsychotherapy, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 2, 2022; 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.