Organization Active NPI

Alexander Bory PHD PC

  • Clinical Psychologist
  • Fredericksburg, VA
National Provider Identifier
1487916284
Registry record updated Jun 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0810001956 Issued in VA
Legal business name
ALEXANDER BORY PHD PC
Practice address
1119 Caroline St
Fredericksburg, VA 22401-3815
Phone
(540) 371-2251
Fax
(540) 371-2930
NPI assigned
Jun 8, 2012
Last updated
Jun 8, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2012

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

Authorized official

Name
Alexander Bory, PHDNPI 1437170305
Title
Owner
Phone
(540) 371-2251

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 0810001956 VA Primary

Addresses

Primary practice location

1119 Caroline St
Fredericksburg, VA 22401-3815

Mailing address

1119 Caroline St
Fredericksburg, VA 22401-3815
Phone (540) 371-2251

National Provider Directory

National Provider Directory

Locations

1119 Caroline St
Fredericksburg, VA 22401
Phone (540) 371-2251

Practitioners & affiliated clinicians

Practitioners 3

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": "1339113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339113600000",
    "number": "1487916284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1119 CAROLINE ST",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224013815",
            "telephone_number": "540-371-2251",
            "fax_number": "540-371-2930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1119 CAROLINE ST",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224013815",
            "telephone_number": "540-371-2251",
            "fax_number": "540-371-2930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXANDER BORY PHD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-08",
        "last_updated": "2012-06-08",
        "status": "A",
        "authorized_official_last_name": "BORY",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-371-2251",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810001956",
            "primary": true
        }
    ],
    "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 Jun 8, 2012; 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.