Organization Active NPI

The Maia Institute

  • Forensic Psychiatry Physician
  • Alexandria, VA
National Provider Identifier
1356743280
Registry record updated Sep 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Forensic Psychiatry PhysicianTaxonomy code 2084F0202X
License
0101251413 Issued in VA
Legal business name
THE MAIA INSTITUTE
Practice address
2050 Ballenger Ave Ste 200
Alexandria, VA 22314-6847
Phone
(571) 551-6070
NPI assigned
Sep 23, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2014

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

Authorized official

Name
Carolina A Klein, MD
Title
Chief Medical Officer
Phone
(202) 596-9585

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Forensic Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084F0202X 0101251413 VA Primary

Addresses

Primary practice location

2050 Ballenger Ave Ste 200
Alexandria, VA 22314-6847

Mailing address

2050 Ballenger Ave Ste 200
Alexandria, VA 22314-6847
Phone (571) 551-6070

National Provider Directory

National Provider Directory

Locations

2050 Ballenger Ave
Ste 200
Alexandria, VA 22314
Phone (571) 551-6070

NPI Registry JSON

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

{
    "created_epoch": "1411430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411430400000",
    "number": "1356743280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 BALLENGER AVE STE 200",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223146847",
            "telephone_number": "571-551-6070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 BALLENGER AVE STE 200",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223146847",
            "telephone_number": "571-551-6070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MAIA INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-23",
        "last_updated": "2014-09-23",
        "status": "A",
        "authorized_official_last_name": "KLEIN",
        "authorized_official_first_name": "CAROLINA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "202-596-9585",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084F0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "VA",
            "license": "0101251413",
            "primary": true
        }
    ],
    "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 Sep 23, 2014; 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.