Organization Active NPI

Joe Cabush & Associates, PLLC

  • Adolescent and Children Mental Health Clinic/Center
  • Fairfax, VA
National Provider Identifier
1518617232
Registry record updated Mar 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
JOE CABUSH & ASSOCIATES, PLLC
Practice address
3911 Old Lee Hwy Ste 43B
Fairfax, VA 22030-2434
Phone
(703) 691-0036
NPI assigned
Mar 25, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2022

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

Authorized official

Name
Joseph Cabush, LCSWNPI 1922199124
Title
Manager
Phone
(703) 691-0036

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

3911 Old Lee Hwy Ste 43B
Fairfax, VA 22030-2434

Mailing address

3911 Old Lee Hwy Ste 43B
Fairfax, VA 22030-2434
Phone (703) 691-0036

Other names 1

  • Cabush, Paul and Associates Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1648166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648166400000",
    "number": "1518617232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3911 OLD LEE HWY STE 43B",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302434",
            "telephone_number": "703-691-0036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3911 OLD LEE HWY STE 43B",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302434",
            "telephone_number": "703-691-0036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOE CABUSH & ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-25",
        "last_updated": "2022-03-25",
        "certification_date": "2022-03-25",
        "status": "A",
        "authorized_official_last_name": "CABUSH",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "703-691-0036",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cabush, Paul and Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 25, 2022; 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.