Phyllis Miller Palombi Ms, LMFT

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

0717000212 Issued in VA

Legal business name

PHYLLIS MILLER PALOMBI MS, LMFT

Practice address

11524 Hemingway Dr
Reston, VA 20194-1252

Phone

(703) 435-7686

Fax

(703) 563-9181

NPI assigned

Mar 5, 2015

Organization subpart

No

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

Authorized official

Name

Phyllis Miller Palombi, M.S.,LPC, LMFT

Title

Family Therapist

Phone

(703) 435-7686

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1425513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425513600000",
    "number": "1255724936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11524 HEMINGWAY DR",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201941252",
            "telephone_number": "703-435-7686",
            "fax_number": "703-563-9181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11524 HEMINGWAY DR",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201941252",
            "telephone_number": "703-435-7686",
            "fax_number": "703-563-9181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYLLIS MILLER PALOMBI MS, LMFT",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-05",
        "last_updated": "2015-03-05",
        "status": "A",
        "authorized_official_last_name": "PALOMBI",
        "authorized_official_first_name": "PHYLLIS",
        "authorized_official_middle_name": "MILLER",
        "authorized_official_title_or_position": "FAMILY THERAPIST",
        "authorized_official_telephone_number": "703-435-7686",
        "authorized_official_credential": "M.S.,LPC, LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "VA",
            "license": "0717000212",
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "VA",
            "license": "0701001061",
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "DC",
            "license": "PRC13615",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Mental Health Clinic/Center in Reston, VA
• Providers in Reston, VA by specialty
• Adult Mental Health Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.