Organization Active NPI

City of Alexandria

Doing business as Alexandria Community Services Board

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Alexandria, VA
National Provider Identifier
1447279658
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
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, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
CITY OF ALEXANDRIAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 20, 2024

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
18023OtherVAANTHEM HEALTHKEEPERS MCO
004945026MedicaidVA
A439OtherVABLUE CROSS BLUE SHIELD

Other names 1

  • Alexandria Community Services Board Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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).

National Provider Directory

National Provider Directory
Tax ID family
Alexandria Comm Ment HLTH7 organizations share this tax ID, including this one
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.

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.

View all 102

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.

Verify at the official NPI Registry.