Organization Active NPI

Roundhouse Square Psychiatric Ctr LTD

  • Clinical Social Worker
  • Alexandria, VA
National Provider Identifier
1376729665
Registry record updated Nov 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
ROUNDHOUSE SQUARE PSYCHIATRIC CTR LTD
Practice address
1444 Duke St
Alexandria, VA 22314-3403
Phone
(703) 836-7130
Fax
(703) 836-6470
NPI assigned
Jan 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2008

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

Authorized official

Name
Dr. David L. Charney, M.D.
Title
Medical Director
Phone
(703) 836-7130

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1444 Duke St
Alexandria, VA 22314-3403

Mailing address

1444 Duke St
Alexandria, VA 22314-3403
Phone (703) 836-7130

Other names 1

  • Roundhouse Square Counseling Center Doing business as

National Provider Directory

National Provider Directory

Locations

1444 Duke St
Alexandria, VA 22314
Phone (703) 836-7130

1501 Duke St
Ste 100
Alexandria, VA 22314
Phone (703) 836-7130

Practitioners & affiliated clinicians

Practitioners 5

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": "1200441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226966400000",
    "number": "1376729665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1444 DUKE ST",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223143403",
            "telephone_number": "703-836-7130",
            "fax_number": "703-836-6470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1444 DUKE ST",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223143403",
            "telephone_number": "703-836-7130",
            "fax_number": "703-836-6470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROUNDHOUSE SQUARE PSYCHIATRIC CTR LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-16",
        "last_updated": "2008-11-18",
        "status": "A",
        "authorized_official_last_name": "CHARNEY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "703-836-7130",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Roundhouse Square Counseling Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 18, 2008; 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.