Organization Active NPI

Full Circle Mental Health Services

  • Psychologist
  • Alexandria, VA
National Provider Identifier
1134600091
Registry record updated Aug 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
0810005630 Issued in VA
Legal business name
FULL CIRCLE MENTAL HEALTH SERVICES
Practice address
301 N Fairfax St Ste 204a
Alexandria, VA 22314-2633
Phone
(202) 596-1031
NPI assigned
Aug 28, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2018

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

Authorized official

Name
Dr. Marcus R Patterson, PSYDNPI 1003354028
Title
Owner/Clinical Psychologist
Phone
(202) 596-1031

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
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X 0810005630 VA Primary

Addresses

Primary practice location

301 N Fairfax St Ste 204a
Alexandria, VA 22314-2633

Mailing address

301 N Fairfax St Ste 204a
Alexandria, VA 22314-2633
Phone (202) 596-1031

National Provider Directory

National Provider Directory

Locations

301 N Fairfax St
Ste 204A
Alexandria, VA 22314
Phone (202) 596-1031

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": "1535414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535414400000",
    "number": "1134600091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 N FAIRFAX ST STE 204A",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223142633",
            "telephone_number": "202-596-1031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N FAIRFAX ST STE 204A",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223142633",
            "telephone_number": "202-596-1031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULL CIRCLE MENTAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-28",
        "last_updated": "2018-08-28",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "202-596-1031",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "VA",
            "license": "0810005630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 28, 2018; 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.