Ethos Foundation Incorporated

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

145 Issued in VA

Legal business name

ETHOS FOUNDATION INCORPORATED

Practice address

312 S Washington St
3A
Alexandria, VA 22314-3684

Phone

(703) 535-6800

Fax

(703) 535-6999

NPI assigned

Nov 18, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Philip Ignatius Brennan, PH.D.

Title

President

Phone

(703) 535-6800

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1384732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384732800000",
    "number": "1427488014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 S WASHINGTON ST",
            "address_2": "3A",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223143684",
            "telephone_number": "703-535-6800",
            "fax_number": "703-535-6999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 S WASHINGTON ST",
            "address_2": "3A",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223143684",
            "telephone_number": "703-535-6800",
            "fax_number": "703-535-6999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETHOS FOUNDATION INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-18",
        "last_updated": "2013-11-18",
        "status": "A",
        "authorized_official_last_name": "BRENNAN",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "IGNATIUS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-535-6800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "VA",
            "license": "145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2013; 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.