Organization Active NPI

Northern Virginia Psychotherapy Assoc., Inc.

  • Clinical Social Worker
  • Herndon, VA
National Provider Identifier
1245355197
Registry record updated Jan 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904001415 Issued in VA
Legal business name
NORTHERN VIRGINIA PSYCHOTHERAPY ASSOC., INC.
Practice address
297 Herndon Pkwy
Ste. 201
Herndon, VA 20170-4474
Phone
(703) 742-6043
NPI assigned
Mar 20, 2007
Organization subpart
Yes
Parent organization
NORTHERN VIRGINIA PSYCHOTHERAPY ASSOC., INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 16, 2013

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

Authorized official

Name
Kathi WhittenNPI 1508104126
Title
President
Phone
(703) 742-6043

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 Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 0904001415 VA Primary

Addresses

Primary practice location

297 Herndon Pkwy
Ste. 201
Herndon, VA 20170-4474

Mailing address

297 Herndon Pkwy
Ste. 201
Herndon, VA 20170
Phone (703) 742-6043

National Provider Directory

National Provider Directory
Part of
Northern Virginia Psychotherapy Assoc Inc

Locations

297 Herndon Pkwy
Ste 201
Herndon, VA 20170
Phone (703) 435-4325

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": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358294400000",
    "number": "1245355197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "297 HERNDON PKWY",
            "address_2": "STE. 201",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "20170",
            "telephone_number": "703-742-6043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "297 HERNDON PKWY",
            "address_2": "STE. 201",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704474",
            "telephone_number": "703-742-6043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN VIRGINIA PSYCHOTHERAPY ASSOC., INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHERN VIRGINIA PSYCHOTHERAPY ASSOC., INC.",
        "enumeration_date": "2007-03-20",
        "last_updated": "2013-01-16",
        "status": "A",
        "authorized_official_last_name": "WHITTEN",
        "authorized_official_first_name": "KATHI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-742-6043"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904001415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Herndon, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2013; 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.