NPIMap

Organization Active NPI

Ballston Psychology, PLLC

  • Clinical Psychologist
  • Arlington, VA
National Provider Identifier
1215327309
Registry record updated Jan 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0810003893 Issued in VA
Legal business name
BALLSTON PSYCHOLOGY, PLLC
Practice address
4141 N Henderson Rd
Plaza Level, Suite 3
Arlington, VA 22203-2486
Phone
(571) 338-4488
NPI assigned
Jan 28, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2015

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

Authorized official

Name
Dr. David A Kohls, PSYDNPI 1598735326
Title
Owner
Phone
(571) 338-4488

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
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 0810003893 VA Primary

Addresses

Primary practice location

4141 N Henderson Rd
Plaza Level, Suite 3
Arlington, VA 22203-2486

Mailing address

PO Box 4473
Falls Church, VA 22044-0473
Phone (571) 338-4488

National Provider Directory

National Provider Directory

Locations

4141 N Henderson Rd
Ph 3
Arlington, VA 22203
Phone (571) 338-4488

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": "1422403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422403200000",
    "number": "1215327309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4473",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220440473",
            "telephone_number": "571-338-4488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4141 N HENDERSON RD",
            "address_2": "PLAZA LEVEL, SUITE 3",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222032486",
            "telephone_number": "571-338-4488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALLSTON PSYCHOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-28",
        "last_updated": "2015-01-28",
        "status": "A",
        "authorized_official_last_name": "KOHLS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "571-338-4488",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810003893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2015; 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.