Organization Active NPI

Cor Psychotherapy

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • MC Lean, VA
National Provider Identifier
1295504322
Registry record updated Dec 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
COR PSYCHOTHERAPY
Practice address
1497 Chain Bridge Rd Ste 202
MC Lean, VA 22101-5728
Phone
(760) 390-1550
NPI assigned
Dec 29, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2023

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

Authorized official

Name
James Albert Bryan II, LPCNPI 1023887155
Title
Owner
Phone
(760) 390-1550

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1497 Chain Bridge Rd Ste 202
MC Lean, VA 22101-5728

Mailing address

1497 Chain Bridge Rd Ste 202
MC Lean, VA 22101-5728
Phone (760) 390-1550

National Provider Directory

National Provider Directory

Locations

1497 Chain Bridge Rd
Ste 202
McLean, VA 22101
Phone (571) 378-1939

Practitioners & affiliated clinicians

Practitioners 1

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": "1703808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703808000000",
    "number": "1295504322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1497 CHAIN BRIDGE RD STE 202",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221015728",
            "telephone_number": "760-390-1550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1497 CHAIN BRIDGE RD STE 202",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221015728",
            "telephone_number": "760-390-1550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COR PSYCHOTHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-29",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A",
        "authorized_official_last_name": "BRYAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "ALBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-390-1550",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in MC Lean, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2023; 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.