NPIMap

Organization Active NPI

Neuropsychology Associates of Fairfax

  • Clinical Neuropsychologist
  • Fairfax, VA
National Provider Identifier
1518259985
Registry record updated May 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
0810002665 Issued in VA
Legal business name
NEUROPSYCHOLOGY ASSOCIATES OF FAIRFAX
Practice address
3020 Hamaker CT Ste 103
Fairfax, VA 22031-2220
Phone
(703) 876-0966
NPI assigned
May 4, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2011

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

Authorized official

Name
Dr. Mary Elizabeth Quig, PH.D.
Title
Neuropsychologist/Owner
Phone
(703) 876-0966

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103G00000X 0810002665 VA Primary

Addresses

Primary practice location

3020 Hamaker CT Ste 103
Fairfax, VA 22031-2220

Mailing address

3020 Hamaker CT Ste 103
Fairfax, VA 22031-2220

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1304467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304467200000",
    "number": "1518259985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 HAMAKER CT STE 103",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220312220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 HAMAKER CT STE 103",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220312220",
            "telephone_number": "703-876-0966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROPSYCHOLOGY ASSOCIATES OF FAIRFAX",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-04",
        "last_updated": "2011-05-04",
        "status": "A",
        "authorized_official_last_name": "QUIG",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "NEUROPSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "703-876-0966",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "VA",
            "license": "0810002665",
            "primary": true
        }
    ],
    "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 May 4, 2011; 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.