Individual provider Active NPI

Nabil El-Ghoroury, PH.D

  • Psychologist
  • Alexandria, VA
National Provider Identifier
1285665166
Registry record updated Oct 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
0810007882 Issued in VA
Practice address
2425 Huntington Park Dr
Alexandria, VA 22303-2256
Phone
(202) 753-4773
NPI assigned
Jul 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 5983 OH
Psychologist 103T00000X 0810007882 VA Primary

Addresses

Primary practice location

2425 Huntington Park Dr
Alexandria, VA 22303-2256

Mailing address

6412 Brandon Ave # 304
Springfield, VA 22150-2513
Phone (202) 753-4773

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2023 through Jan 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
5983OHMDPsychologist
0810007882VAMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1285665166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6412 BRANDON AVE # 304",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221502513",
            "telephone_number": "202-753-4773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 HUNTINGTON PARK DR",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223032256",
            "telephone_number": "202-753-4773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EL-GHOROURY",
        "first_name": "NABIL",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OH",
            "license": "5983",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "VA",
            "license": "0810007882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

Verify at the official NPI Registry.