Organization Active NPI

Brain Injury Servcies

  • Brain Injury Medicine (Psychiatry & Neurology) Physician
  • Springfield, VA
National Provider Identifier
1215316138
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Brain Injury Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084P0301X
Legal business name
BRAIN INJURY SERVCIES
Practice address
8136 Old Keene Mill Rd
Suite B102
Springfield, VA 22152-1850
Phone
(703) 451-8881
Fax
(703) 451-8820
NPI assigned
May 26, 2015
Reactivated
Feb 29, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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

Authorized official

Name
Donna A. Meltzer
Title
Executive Director
Phone
(703) 451-8881

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Brain Injury Medicine (Psychiatry & Neurology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0301X Primary
Case Management Agency 251B00000X

Addresses

Primary practice location

8136 Old Keene Mill Rd
Suite B102
Springfield, VA 22152-1850

Mailing address

8136 Old Keene Mill Rd
Suite B102
Springfield, VA 22152-1850
Phone (703) 451-8881

National Provider Directory

National Provider Directory

Locations

8136 Old Keene Mill Rd
Ste B102
Springfield, VA 22152
Phone (703) 451-8881

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": "1432598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725321600000",
    "number": "1215316138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8136 OLD KEENE MILL RD",
            "address_2": "SUITE B102",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221521850",
            "telephone_number": "703-451-8881",
            "fax_number": "703-451-8820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8136 OLD KEENE MILL RD",
            "address_2": "SUITE B102",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221521850",
            "telephone_number": "703-451-8881",
            "fax_number": "703-451-8820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAIN INJURY SERVCIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-26",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "deactivation_date": "2024-02-08",
        "reactivation_date": "2024-02-29",
        "status": "A",
        "authorized_official_last_name": "MELTZER",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "703-451-8881"
    },
    "taxonomies": [
        {
            "code": "2084P0301X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Brain Injury Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Sep 3, 2024; 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.