Organization Active NPI

Atlantic Behavioral Specialists LLC

  • Clinical Psychologist
  • Fairfax, VA
National Provider Identifier
1396609889
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2025

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)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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

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.

Verify at the official NPI Registry.