Organization Active NPI

Center for Psychological Assessment and Consultation PC

  • Psychologist
  • Fredericksburg, VA
National Provider Identifier
1437688546
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
CENTER FOR PSYCHOLOGICAL ASSESSMENT AND CONSULTATION PC
Practice address
510 Princess Anne St Ste 102
Fredericksburg, VA 22401-6077
Phone
(540) 698-0003
Fax
(540) 212-2660
NPI assigned
Jun 12, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Robyn A Van Brunt, PHDNPI 1467766386
Title
Treasurer
Phone
(540) 698-0003

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X NU Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X NU

Addresses

Primary practice location

510 Princess Anne St Ste 102
Fredericksburg, VA 22401-6077

Mailing address

615 Jefferson Davis Hwy Ste 101
Fredericksburg, VA 22401-8407
Phone (540) 698-0003

National Provider Directory

National Provider Directory

Locations

510 Princess Anne St
Ste 102
Fredericksburg, VA 22401
Phone (540) 445-1125

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1497225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1437688546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 JEFFERSON DAVIS HWY STE 101",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224018407",
            "telephone_number": "540-698-0003",
            "fax_number": "540-212-2660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 PRINCESS ANNE ST STE 102",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224016077",
            "telephone_number": "540-698-0003",
            "fax_number": "540-212-2660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR PSYCHOLOGICAL ASSESSMENT AND CONSULTATION PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-12",
        "last_updated": "2022-07-21",
        "certification_date": "2021-03-25",
        "status": "A",
        "authorized_official_last_name": "VAN BRUNT",
        "authorized_official_first_name": "ROBYN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "540-698-0003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.