Neurology Consultants Corp

Primary specialty

SpecialistTaxonomy code 174400000X

License

101235954 Issued in VA

Legal business name

NEUROLOGY CONSULTANTS CORP

Practice address

8303 Arlington Blvd
Suite 202
Fairfax, VA 22031-2903

Phone

(703) 635-3275

Fax

(703) 286-5096

NPI assigned

Jul 16, 2006

Last updated

Oct 22, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Suneetha Manem, M.D.NPI 1467611707

Title

Director

Phone

(703) 635-3275

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

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.

• Suneetha Manem, M.D.

  • Specialist
  • Fairfax, VA
  • NPI 1467611707

  DC

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256169600000",
    "number": "1285651125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7534",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221067534",
            "telephone_number": "703-635-3275",
            "fax_number": "703-286-5096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8303 ARLINGTON BLVD",
            "address_2": "SUITE 202",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220312903",
            "telephone_number": "703-635-3275",
            "fax_number": "703-286-5096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGY CONSULTANTS CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2009-10-22",
        "status": "A",
        "authorized_official_last_name": "MANEM",
        "authorized_official_first_name": "SUNEETHA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "703-635-3275",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "101235954",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010259703",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine Nethercote
• Kenneth Netto
• Amy Sheff Neumann, MSW, LCSW, RPT-S
• Kristen Neumeister, M.S. , CF-SLP
• Neurology Center of Fairfax, LTD
• Neuropsych Wellness Center
• Neuropsych Wellness Center
• Neuropsych Wellness Center, PC
• Neuropsychology Associates of Fairfax
• Neuropsychology Associates of Fairfax Virginia LLC (Neuropsychology Associates of Fairfax, LLC)

• Specialist in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Specialist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.