Organization Active NPI

Grace Assessment and Therapy Associates

  • Clinical Psychologist
  • Winchester, VA
National Provider Identifier
1356768675
Registry record updated Mar 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0810003713 Issued in VA
Legal business name
GRACE ASSESSMENT AND THERAPY ASSOCIATES
Practice address
13 E Clifford St
Winchester, VA 22601-4609
Phone
(540) 773-3999
Fax
(540) 773-3996
NPI assigned
Mar 25, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2014

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

Authorized official

Name
Jessica Brown, MA
Title
Clinical Coordinator
Phone
(540) 773-3999

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 0810003713 VA Primary
School PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TS0200X 0803000056 VA

Addresses

Primary practice location

13 E Clifford St
Winchester, VA 22601-4609

Mailing address

13 E Clifford St
Winchester, VA 22601-4609
Phone (540) 773-3999

National Provider Directory

National Provider Directory

Locations

13 E Clifford St
Winchester, VA 22601
Phone (540) 247-6444

Practitioners & affiliated clinicians

Practitioners 4

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": "1395705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395705600000",
    "number": "1356768675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 E CLIFFORD ST",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226014609",
            "telephone_number": "540-773-3999",
            "fax_number": "540-773-3996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 E CLIFFORD ST",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226014609",
            "telephone_number": "540-773-3999",
            "fax_number": "540-773-3996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE ASSESSMENT AND THERAPY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-25",
        "last_updated": "2014-03-25",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "CLINICAL COORDINATOR",
        "authorized_official_telephone_number": "540-773-3999",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810003713",
            "primary": true
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, School",
            "state": "VA",
            "license": "0803000056",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.