Active NPI
Atlantic Behavioral Specialists LLC
- Clinical Psychologist
- Fairfax, VA
National Provider Identifier
1396609889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- ATLANTIC BEHAVIORAL SPECIALISTS LLC
- Practice address
- 3610 W Ox Rd Ste 1a
Fairfax, VA 22033-2302 - Phone
- (443) 818-2733
- NPI assigned
- Dec 10, 2025
- Last updated
- Dec 10, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Charles Dadoo
- Title
- President
- Phone
- (443) 818-2733
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | Primary |
Addresses
Primary practice location
3610 W Ox Rd Ste 1a
Fairfax, VA 22033-2302
Mailing address
3610 W Ox Rd Ste 1a
Fairfax, VA 22033-2302
Phone (443) 818-2733
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1765324800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1765324800000",
"number": "1396609889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3610 W OX RD STE 1A",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220332302",
"telephone_number": "443-818-2733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3610 W OX RD STE 1A",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220332302",
"telephone_number": "443-818-2733"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ATLANTIC BEHAVIORAL SPECIALISTS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-12-10",
"last_updated": "2025-12-10",
"certification_date": "2025-12-10",
"status": "A",
"authorized_official_last_name": "DADOO",
"authorized_official_first_name": "CHARLES",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "443-818-2733",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairfax, VA
- Association of Alexandria Radiologists
- William Matthew Astor, M.D.
- Odita Dungo Asuncion, M.D.
- Rebekah Lee Atencio, MS CCC-SLP
- Melany Beth Atkins, M.D.
- Atlantic Coast Echocardiography and Sonography LLC. (A.C.Echos)
- Atlas & Axis, LLC (Homewatch Caregivers of Fairfax)
- Atoz Eye Care LLC
- Maryam Attili
- Brett D. Atwater, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.