Active NPI
City of Alexandria
Doing business as Alexandria Community Services Board
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Alexandria, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- CITY OF ALEXANDRIA
- Doing business as
- Alexandria Community Services Board
- Practice address
- 4850 Mark Center Dr
Alexandria, VA 22311-1882 - Phone
- (703) 746-3400
- NPI assigned
- Jul 19, 2006
- Last updated
- May 20, 2024
- Organization subpart
- Yes
- Parent organization
- CITY OF ALEXANDRIA
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Catherine Garvey
- Title
- Director
- Phone
- (703) 746-3400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | NU | Primary |
Addresses
Primary practice location
4850 Mark Center Dr
Alexandria, VA 22311-1882
Mailing address
4850 Mark Center Dr FL 8
Alexandria, VA 22311-1882
Phone (703) 746-3400
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 18023 | Other | VA | ANTHEM HEALTHKEEPERS MCO |
| 004945026 | Medicaid | VA | |
| A439 | Other | VA | BLUE CROSS BLUE SHIELD |
Other names 1
- Alexandria Community Services Board
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040216000939 | DC | Part B Supplier - Clinic/Group Practice | 0941195374 |
Receives reassigned benefits from 65 practitioners Practice locations: Alexandria, VA |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Alexandria Fire Department
- Ambulance
- Alexandria, VA
- NPI 1902970593
0941195374
National Provider Directory
National Provider Directory- Tax ID family
- Alexandria Comm Ment HLTH
- Part of
- Alexandria Comm Ment HLTH
Other organizations with this tax ID 6
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Alexandria, VA
- NPI 1043483415
-
- Community/Behavioral Health Agency
- Alexandria, VA
- NPI 1457413098
-
- Community/Behavioral Health Agency
- Alexandria, VA
- NPI 1922160597
-
dba Alexandria Adult Day Services Center
- Adult Day Care Clinic/Center
- Alexandria, VA
- NPI 1285132571
-
- Adolescent and Children Mental Health Clinic/Center
- Alexandria, VA
- NPI 1467832469
Locations
4850 Mark Center Dr
Fl 8
Alexandria, VA 22311
4850 Mark Center Dr
Fl 9
Alexandria, VA 22311
Phone (703) 746-3400
Practitioners & affiliated clinicians
Practitioners 102
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": "1153267200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1716163200000",
"number": "1447279658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4850 MARK CENTER DR FL 8",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223111882",
"telephone_number": "703-746-3400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4850 MARK CENTER DR",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223111882",
"telephone_number": "703-746-3400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY OF ALEXANDRIA",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CITY OF ALEXANDRIA",
"enumeration_date": "2006-07-19",
"last_updated": "2024-05-20",
"certification_date": "2024-05-20",
"status": "A",
"authorized_official_last_name": "GARVEY",
"authorized_official_first_name": "CATHERINE",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "703-746-3400"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM HEALTHKEEPERS MCO",
"identifier": "18023",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004945026",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "A439",
"state": "VA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Alexandria Community Services Board",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Alexandria Community Services Board",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.