NPIMap

Organization Active NPI

Applied Neuropsychological Services PC

  • Clinical Neuropsychologist
  • Fairfax, VA
National Provider Identifier
1598085722
Registry record updated Jun 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
0810003332 Issued in VA
Legal business name
APPLIED NEUROPSYCHOLOGICAL SERVICES PC
Practice address
3930 Pender Dr
Suite 320
Fairfax, VA 22030-0985
Phone
(703) 879-5130
Fax
(703) 635-3681
NPI assigned
Jun 10, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2010

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

Authorized official

Name
Dr. Mercedes Helena Alfaro, PH.D.
Title
Owner and Sole Director
Phone
(703) 879-5130

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103G00000X 0810003332 VA Primary

Addresses

Primary practice location

3930 Pender Dr
Suite 320
Fairfax, VA 22030-0985

Mailing address

PO Box 640
Centreville, VA 20122-0640

National Provider Directory

National Provider Directory
Tax ID family
Applied Neuropsychological Services PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

3930 Pender Dr
Ste 320
Fairfax, VA 22030
Phone (703) 817-7770

NPI Registry JSON

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

{
    "created_epoch": "1276128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276128000000",
    "number": "1598085722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 640",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201220640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3930 PENDER DR",
            "address_2": "SUITE 320",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220300985",
            "telephone_number": "703-879-5130",
            "fax_number": "703-635-3681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPLIED NEUROPSYCHOLOGICAL SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-10",
        "last_updated": "2010-06-10",
        "status": "A",
        "authorized_official_last_name": "ALFARO",
        "authorized_official_first_name": "MERCEDES",
        "authorized_official_middle_name": "HELENA",
        "authorized_official_title_or_position": "OWNER AND SOLE DIRECTOR",
        "authorized_official_telephone_number": "703-879-5130",
        "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": "0810003332",
            "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 Jun 10, 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.