Encephalon Neurodiagnostics

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

License

S5386612 Issued in VA

Legal business name

ENCEPHALON NEURODIAGNOSTICS

Practice address

46715 Westover Ter
Sterling, VA 20165-7506

Phone

(571) 206-7311

NPI assigned

Jan 12, 2015

Last updated

Jan 15, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Wesley McMillan II

Title

Chief Operating Officer

Phone

(571) 206-7311

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Angel Maillet

  • EEG Specialist/Technologist
  • Sterling, VA
  • NPI 1174912661
  NPD (past)

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

{
    "created_epoch": "1421020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421280000000",
    "number": "1558750877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46715 WESTOVER TER",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201657506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46715 WESTOVER TER",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201657506",
            "telephone_number": "571-206-7311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENCEPHALON NEURODIAGNOSTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-12",
        "last_updated": "2015-01-15",
        "status": "A",
        "authorized_official_last_name": "MCMILLAN",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "571-206-7311",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "VA",
            "license": "S5386612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheryl Embling
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• Empowered Minds ABA, LLC
• Edwin D Encarnacion, PA-C
• Kimberly Ortanez Enderes, DPT
• Endocrinology and Infectious
• Kelly Engel
• Nancy B English, CFNP
• Entire Recovery Bodyworks, LLC

• Physiological Laboratory in Sterling, VA
• Providers in Sterling, VA by specialty
• Physiological Laboratory in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2015; 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.