Organization Active NPI

Beverly a. Brosky, Psy.D., PLLC

  • Clinical Psychologist
  • Alexandria, VA
National Provider Identifier
1386880276
Registry record updated Dec 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
BEVERLY A. BROSKY, PSY.D., PLLC
Practice address
5021 Seminary Rd
Suite 229
Alexandria, VA 22311-1945
Phone
(703) 550-1140
Fax
(703) 575-8090
NPI assigned
Dec 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2008

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

Authorized official

Name
Ms. Beverly Ann Brosky, PSY.D.NPI 1417069493
Title
Licensed Psychologist
Phone
(703) 550-1140

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
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

5021 Seminary Rd
Suite 229
Alexandria, VA 22311-1945

Mailing address

5021 Seminary Rd
Suite 229
Alexandria, VA 22311-1945
Phone (703) 550-1140

Other identifiers 1

IdentifierTypeStateIssuer
1417069493OtherVANPI NUMBER

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1229990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229990400000",
    "number": "1386880276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5021 SEMINARY RD",
            "address_2": "SUITE 229",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223111945",
            "telephone_number": "703-550-1140",
            "fax_number": "703-575-8090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5021 SEMINARY RD",
            "address_2": "SUITE 229",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223111945",
            "telephone_number": "703-550-1140",
            "fax_number": "703-575-8090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEVERLY A. BROSKY, PSY.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-23",
        "last_updated": "2008-12-23",
        "status": "A",
        "authorized_official_last_name": "BROSKY",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "703-550-1140",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER",
            "identifier": "1417069493",
            "state": "VA"
        }
    ],
    "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 Dec 23, 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.