Active NPI
District Psychiatry
- Psychiatry Physician
- Alexandria, VA
National Provider Identifier
1306576699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- DISTRICT PSYCHIATRY
- Practice address
- 916 Prince St Ste 102
Alexandria, VA 22314-3095 - Phone
- (703) 469-9301
- NPI assigned
- Jun 10, 2022
- Organization subpart
- Yes
- Parent organization
- DISTRICT PSYCHIATRY AND WELLNESS
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cody Bressette, MBA
- Title
- Owner/Chief
- Phone
- (703) 469-9301
Specialties & licenses 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | |||
| Cognitive & Behavioral Psychologist | 103TB0200X | |||
| Counseling Psychologist | 103TC1900X | |||
| Exercise & Sports Psychologist | 103TE1100X | |||
| Health Psychologist | 103TH0004X | |||
| Chiropractor | 111N00000X | |||
| Nutritionist | 133N00000X | |||
| Registered Dietitian | 133V00000X | |||
| Psychiatry Physician | 2084P0800X | Primary | ||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X |
Addresses
Primary practice location
916 Prince St Ste 102
Alexandria, VA 22314-3095
Mailing address
916 Prince St Ste 102
Alexandria, VA 22314-3095
National Provider Directory
National Provider DirectoryLocations
916 Prince St
Ste 102
Alexandria, VA 22314
Phone (703) 469-9301
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654819200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1654819200000",
"number": "1306576699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "916 PRINCE ST STE 102",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223143095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "916 PRINCE ST STE 102",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223143095",
"telephone_number": "703-469-9301"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DISTRICT PSYCHIATRY",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "DISTRICT PSYCHIATRY AND WELLNESS",
"enumeration_date": "2022-06-10",
"last_updated": "2022-06-10",
"certification_date": "2022-06-10",
"status": "A",
"authorized_official_last_name": "BRESSETTE",
"authorized_official_first_name": "CODY",
"authorized_official_title_or_position": "OWNER/CHIEF",
"authorized_official_telephone_number": "703-469-9301",
"authorized_official_credential": "MBA"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Cognitive & Behavioral",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Counseling",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TE1100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Exercise & Sports",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TH0004X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": false
},
{
"code": "133N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nutritionist",
"state": null,
"license": null,
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"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 Jun 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.