NPIMap

Organization Active NPI

Virginia Clinical Therapy Center

  • Community/Behavioral Health Agency
  • Fairfax, VA
National Provider Identifier
1376933028
Registry record updated Feb 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
VIRGINIA CLINICAL THERAPY CENTER
Practice address
10805 Main St Ste 800
Fairfax, VA 22030-4729
Phone
(571) 446-7618
NPI assigned
Feb 3, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2017

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

Authorized official

Name
Mr. Peter Whang, LPC
Title
Director/Ceo
Phone
(571) 446-7618

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X VA Primary

Addresses

Primary practice location

10805 Main St Ste 800
Fairfax, VA 22030-4729

Mailing address

10805 Main Street Suite 800
Fairfax, VA 22030
Phone (571) 446-7618

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1422921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486684800000",
    "number": "1376933028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10805 MAIN STREET SUITE 800",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "22030",
            "telephone_number": "571-446-7618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10805 MAIN ST STE 800",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220304729",
            "telephone_number": "571-446-7618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA CLINICAL THERAPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-03",
        "last_updated": "2017-02-10",
        "status": "A",
        "authorized_official_last_name": "WHANG",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "DIRECTOR/CEO",
        "authorized_official_telephone_number": "571-446-7618",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2017; 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.