Mack B. Rhoades Jr., PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

Practice address

13932 Rexburg CT
Woodbridge, VA 22193-3860

Phone

(703) 986-0031

NPI assigned

Apr 28, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1619568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619568000000",
    "number": "1427630409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13932 REXBURG CT",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221933860",
            "telephone_number": "703-986-0031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13932 REXBURG CT",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221933860",
            "telephone_number": "703-986-0031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHOADES",
        "first_name": "MACK",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-28",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madeline Reyes, M.D.
• Sylvia Sierra Reyes
• Erwin Reyna, LCSW
• Courtney E Reynolds, PT, DPT
• Masoud Rezvani, M.D.
• Thuy Rhodes, PHARMD
• Douglas Evan Rhoney, L.P.C.
• Pamela Ri'Chard, DNP, FNP-BC
• Walton Rice, OD
• Richard G Tami DDS PC

• Psychologist in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2021; 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.