Charles B. Sacks MD PC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

CHARLES B. SACKS MD PC

Practice address

1313 Vincent PL
MC Lean, VA 22101-3615

Phone

(703) 821-1017

Fax

(301) 588-2710

NPI assigned

Aug 25, 2010

Organization subpart

No

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

Authorized official

Name

Charles Bernard Sacks, M.D.

Title

President

Phone

(703) 821-1017

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1282694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282694400000",
    "number": "1578879797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6305",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221066305",
            "telephone_number": "703-821-1017",
            "fax_number": "301-588-2710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 VINCENT PL",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221013615",
            "telephone_number": "703-821-1017",
            "fax_number": "301-588-2710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES B. SACKS MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-25",
        "last_updated": "2010-08-25",
        "status": "A",
        "authorized_official_last_name": "SACKS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "BERNARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-821-1017",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wilson W Chan, MED, BCBA
• Tammy J Chance, RBT
• Uppasna Chand, DDS
• Tania Chao, M.D.
• Megan Chapman, BCBA, LBA
• Charlton Ho DDS, PLLC
• Cynthia Chau
• Freena Chaudhry
• Ravinder Chawla, M.D.
• Jenica Joyce Chekouras, COTA-L

• Psychiatry Physician in MC Lean, VA
• Providers in MC Lean, VA by specialty
• Psychiatry Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2010; 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.