NPIMap

Organization Active NPI

McLean Neuropsychiatric Treatment Center LLC

  • Behavioral Neurology & Neuropsychiatry Physician
  • MC Lean, VA
National Provider Identifier
1356935597
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavioral Neurology & Neuropsychiatry PhysicianTaxonomy code 2084B0040X
Legal business name
MCLEAN NEUROPSYCHIATRIC TREATMENT CENTER LLC
Practice address
6849 Old Dominion Dr Ste 315
MC Lean, VA 22101-3733
Phone
(571) 378-1398
Fax
(571) 580-0620
NPI assigned
Mar 1, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Authorized official

Name
Aazaz Haq, MDNPI 1457589509
Title
Owner
Phone
(408) 663-1429

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
Behavioral Neurology & Neuropsychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084B0040X Primary

Addresses

Primary practice location

6849 Old Dominion Dr Ste 315
MC Lean, VA 22101-3733

Mailing address

6849 Old Dominion Dr Ste 315
MC Lean, VA 22101-3733
Phone (571) 378-1398

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210322000353 DC Part B Supplier - Clinic/Group Practice 5496162315 Receives reassigned benefits from 5 practitioners
Practice locations: MC Lean, VA

National Provider Directory

National Provider Directory

Locations

6849 Old Dominion Dr
Ste 340
McLean, VA 22101
Phone (703) 356-5111

6849 Old Dominion Dr
Ste 315
McLean, VA 22101
Phone (571) 378-1398

Practitioners & affiliated clinicians

Practitioners 11

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": "1614556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736294400000",
    "number": "1356935597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6849 OLD DOMINION DR STE 315",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221013733",
            "telephone_number": "571-378-1398",
            "fax_number": "571-580-0620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6849 OLD DOMINION DR STE 315",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221013733",
            "telephone_number": "571-378-1398",
            "fax_number": "571-580-0620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCLEAN NEUROPSYCHIATRIC TREATMENT CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-01",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A",
        "authorized_official_last_name": "HAQ",
        "authorized_official_first_name": "AAZAZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-663-1429",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084B0040X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "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 Jan 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.