Active NPI
Associated Clinical Services
- Clinical Psychologist
- Springfield, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- ASSOCIATED CLINICAL SERVICES
- Practice address
- 8348 Traford LN
Suite 102
Springfield, VA 22152 - Phone
- (703) 569-8731
- Fax
- (703) 569-7248
- NPI assigned
- Aug 7, 2006
- 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
- Dr. Edwin N. Carter, PH.D.
- Title
- President/Clinical Psychologist
- Phone
- (703) 569-8731
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | Primary |
Addresses
Primary practice location
8348 Traford LN
Suite 102
Springfield, VA 22152
Mailing address
8348 Traford LN
Suite 102
Springfield, VA 22152-1663
Phone (703) 569-8731
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
8348 Traford Ln
Ste 102
Springfield, VA 22152
Phone (703) 569-8731
8134 Old Keene Mill Rd
Ste 101
West Springfield, VA 22152
Phone (703) 569-8731
Practitioners & affiliated clinicians
Practitioners 30
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": "1154908800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1073522124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8348 TRAFORD LN",
"address_2": "SUITE 102",
"city": "SPRINGFIELD",
"state": "VA",
"postal_code": "221521663",
"telephone_number": "703-569-8731",
"fax_number": "703-569-7248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8348 TRAFORD LN",
"address_2": "SUITE 102",
"city": "SPRINGFIELD",
"state": "VA",
"postal_code": "22152",
"telephone_number": "703-569-8731",
"fax_number": "703-569-7248"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASSOCIATED CLINICAL SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-07",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "CARTER",
"authorized_official_first_name": "EDWIN",
"authorized_official_middle_name": "N.",
"authorized_official_title_or_position": "PRESIDENT/CLINICAL PSYCHOLOGIST",
"authorized_official_telephone_number": "703-569-8731",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.