Organization Active NPI

Cheryl a. Colecchi, PH.D., P.C.

  • Clinical Psychologist
  • Alexandria, VA
National Provider Identifier
1285776641
Registry record updated May 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0810001981 Issued in VA
Legal business name
CHERYL A. COLECCHI, PH.D., P.C.
Practice address
205 S Whiting St
Suite 603
Alexandria, VA 22304-7100
Phone
(703) 751-0255
Fax
(703) 751-4943
NPI assigned
Feb 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2013

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

Authorized official

Name
Dr. Cheryly A. Colecchi, PH.D.
Title
President
Phone
(703) 751-0255

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 0810001981 VA Primary

Addresses

Primary practice location

205 S Whiting St
Suite 603
Alexandria, VA 22304-7100

Mailing address

205 S Whiting St
Suite 603
Alexandria, VA 22304-7100
Phone (703) 751-0255

Other identifiers 9

IdentifierTypeStateIssuer
K689OtherVACAREFIRST BLUE CROSS BLUE
2031456OtherVACIGNA BEHAVIORAL HEALTH
083157OtherVAANTHEM BLUE CROSS BLUE SH
254590000OtherVAMAGELLAN BEHAVIORAL HEALT
722925OtherVANCPPO
374830OtherVAMHN TRICARE
080178OtherVASENTARA
5850280OtherVAAETNA
188815OtherVAVALUEOPTIONS

National Provider Directory

National Provider Directory

Locations

205 S Whiting St
Ste 603
Alexandria, VA 22304
Phone (703) 751-0255

8010 Ridge Rd
Ste D
Richmond, VA 23229
Phone (804) 285-9421

Practitioners & affiliated clinicians

Practitioners 2

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": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367539200000",
    "number": "1285776641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 S WHITING ST",
            "address_2": "SUITE 603",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223047100",
            "telephone_number": "703-751-0255",
            "fax_number": "703-751-4943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 S WHITING ST",
            "address_2": "SUITE 603",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223047100",
            "telephone_number": "703-751-0255",
            "fax_number": "703-751-4943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERYL A. COLECCHI, PH.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2013-05-03",
        "status": "A",
        "authorized_official_last_name": "COLECCHI",
        "authorized_official_first_name": "CHERYLY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-751-0255",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810001981",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BLUE CROSS BLUE",
            "identifier": "K689",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA BEHAVIORAL HEALTH",
            "identifier": "2031456",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS BLUE SH",
            "identifier": "083157",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN BEHAVIORAL HEALT",
            "identifier": "254590000",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPPO",
            "identifier": "722925",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN TRICARE",
            "identifier": "374830",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SENTARA",
            "identifier": "080178",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5850280",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUEOPTIONS",
            "identifier": "188815",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.