Organization Active NPI

Monica Hayward

  • Adult Mental Health Clinic/Center
  • Annandale, VA
National Provider Identifier
1184907537
Registry record updated Sep 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
0904007729 Issued in VA
Legal business name
MONICA HAYWARD
Practice address
5105Q Backlick Rd
Annandale, VA 22003-6005
Phone
(703) 232-0874
Fax
(703) 590-3081
NPI assigned
Sep 22, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2011

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

Authorized official

Name
Mrs. Monica N Hayward, L.C.S.W
Title
Psychotherpist
Phone
(703) 232-0874

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 0904007729 VA Primary
Exclusive Provider Organization 302F00000X 0904007729 VA

Addresses

Primary practice location

5105Q Backlick Rd
Annandale, VA 22003-6005

Mailing address

4707 Kenny CT
Woodbridge, VA 22193-4805
Phone (703) 232-0874

National Provider Directory

National Provider Directory

Locations

5105Q Backlick Rd
Annandale, VA 22003
Phone (703) 232-0874

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1316649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316649600000",
    "number": "1184907537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4707 KENNY CT",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221934805",
            "telephone_number": "703-232-0874",
            "fax_number": "703-590-3081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5105Q BACKLICK RD",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220036005",
            "telephone_number": "703-232-0874",
            "fax_number": "703-590-3081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONICA HAYWARD",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-22",
        "last_updated": "2011-09-22",
        "status": "A",
        "authorized_official_last_name": "HAYWARD",
        "authorized_official_first_name": "MONICA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PSYCHOTHERPIST",
        "authorized_official_telephone_number": "703-232-0874",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "L.C.S.W"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "VA",
            "license": "0904007729",
            "primary": true
        },
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "VA",
            "license": "0904007729",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annandale, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2011; 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.