Commonwealth Mental Healyh Associates

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

COMMONWEALTH MENTAL HEALYH ASSOCIATES

Practice address

8322 Traford LN
D
Springfield, VA 22152-1668

Phone

(703) 913-3503

Fax

(703) 913-1193

NPI assigned

Mar 26, 2007

Organization subpart

No

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

Authorized official

Name

Mark A Rutkowski, LCSW

Title

President

Phone

(703) 913-3503

Specialties & licenses 1

Addresses

Tax ID family

Commonwealth Mental Health Assoc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Commonwealth Mental Health Assoc

  • Clinical Social Worker
  • Springfield, VA
  • NPI 1679796239
  NPD tax ID

Locations

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194842831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8322 TRAFORD LN # D",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221521668",
            "telephone_number": "703-913-3503",
            "fax_number": "703-913-1193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8322 TRAFORD LN",
            "address_2": "D",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221521668",
            "telephone_number": "703-913-3503",
            "fax_number": "703-913-1193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMONWEALTH MENTAL HEALYH ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RUTKOWSKI",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-913-3503",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Collins Chiropractic, LLC
• Terry Lynn Collins, MS CCC SLP
• Traci L Colodner, LCSW
• Casey Commerce, RBT
• Commonwealth Mental Health Assoc
• Community Adult Care
• Community Residences, Inc.
• Community Systems, Inc.
• Compassion Health Source, Inc
• Comprehensive Health and Behavioral Services LLC

• Mental Health Counselor in Springfield, VA
• Providers in Springfield, VA by specialty
• Mental Health Counselor in Virginia

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.