NPIMap

Organization Active NPI

Trusted Doctors LLC

  • Clinical Social Worker
  • Fairfax, VA
National Provider Identifier
1508631862
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
TRUSTED DOCTORS LLC
Practice address
13135 Route 50 Ste 300
Fairfax, VA 22033-1907
Phone
(703) 322-0245
NPI assigned
Nov 16, 2023
Last updated
Nov 28, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
TRUSTED DOCTORS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 28, 2023

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

Authorized official

Name
Sandy Chung
Title
Ceo
Phone
(703) 322-0245

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Professional Counselor 101YP2500X NU
Counseling Psychologist 103TC1900X NU
Clinical Social Worker 1041C0700X NU Primary
Child & Adolescent Psychiatry Physician 2084P0804X NU

Addresses

Primary practice location

13135 Route 50 Ste 300
Fairfax, VA 22033-1907

Mailing address

13135 Route 50 Ste 300
Fairfax, VA 22033-1907
Phone (703) 322-0245

Other practice location 1

1655 Crofton Blvd Ste 301
Crofton, MD 21114-1387
Phone (703) 322-0245

Other practice location 2

1475 Taney Ave Ste 201
Frederick, MD 21702-5126
Phone (703) 322-0241

National Provider Directory

National Provider Directory
Tax ID family
Fairfax Pediatric Assoc23 organizations share this tax ID, including this one
Part of
Fairfax Pediatric Assoc

Other organizations with this tax ID 22

Organizations that report the same tax identification number in the National Provider Directory.

View all 22

Locations

1655 Crofton Blvd
Ste 301
Crofton, MD 21114
Phone (410) 263-6363

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1700092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701129600000",
    "number": "1508631862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13135 ROUTE 50 STE 300",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220331907",
            "telephone_number": "703-322-0245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13135 ROUTE 50 STE 300",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220331907",
            "telephone_number": "703-322-0245"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1655 Crofton Blvd Ste 301",
            "address_purpose": "LOCATION",
            "city": "Crofton",
            "state": "MD",
            "postal_code": "211141387",
            "country_code": "US",
            "telephone_number": "703-322-0245",
            "fax_number": "703-391-2919",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1475 Taney Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217025126",
            "country_code": "US",
            "telephone_number": "703-322-0241",
            "fax_number": "703-391-2919",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TRUSTED DOCTORS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRUSTED DOCTORS, LLC",
        "enumeration_date": "2023-11-16",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-27",
        "status": "A",
        "authorized_official_last_name": "CHUNG",
        "authorized_official_first_name": "SANDY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "703-322-0245"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2023; 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.