Active NPI
Monica Hayward
- Adult Mental Health Clinic/Center
- Annandale, VA
National Provider Identifier
1184907537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- License
- 0904007729
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.