CM Prasad MD PC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

0101041720 Issued in VA

Legal business name

CM PRASAD MD PC

Doing business as

Crossroads Professional Counseling

Practice address

7501 Little River Tpke
Ste 301
Annandale, VA 22003-2923

Phone

(703) 750-2013

NPI assigned

Jul 23, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Channavajjala Prasad, MD PHD

Title

Owner

Phone

(703) 750-2013

Specialties & licenses 1

Addresses

Other names 1

• Crossroads Professional Counseling Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• C M Prasad, M.D.

  • Psychiatry Physician
  • Fairfax, VA
  • NPI 1124131867
  NPD (past)

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

{
    "created_epoch": "1343001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343001600000",
    "number": "1265787675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7501 LITTLE RIVER TPKE",
            "address_2": "STE 301",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220032923",
            "telephone_number": "703-750-2013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7501 LITTLE RIVER TPKE",
            "address_2": "STE 301",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220032923",
            "telephone_number": "703-750-2013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CM PRASAD MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-23",
        "last_updated": "2012-07-23",
        "status": "A",
        "authorized_official_last_name": "PRASAD",
        "authorized_official_first_name": "CHANNAVAJJALA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-750-2013",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD PHD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101041720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crossroads Professional Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Won Cho Chong, O.M.D.
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• Elizabeth Land Clark, MS-SLP
• Claros Dental Care, PC
• Jacqueline E Coleman
• Jonathan Evan Collinsworth, CMT
• Columbia Leasing Co., LLC (Annandale Healthcare Center)
• Communikids LLC
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• Psychiatry Physician in Annandale, VA
• Providers in Annandale, VA by specialty
• Psychiatry Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2012; 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.