William R Chatlos, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

0811000922 Issued in VA

Practice address

11333 Sunset Hills Road
Reston, VA 20190-5205

Phone

(703) 437-9103

Fax

(703) 464-0507

NPI assigned

Mar 1, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1298937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298937600000",
    "number": "1639477557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11333 SUNSET HILLS ROAD",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201905205",
            "telephone_number": "703-437-9103",
            "fax_number": "703-464-0507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11333 SUNSET HILLS ROAD",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201905205",
            "telephone_number": "703-437-9103",
            "fax_number": "703-464-0507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHATLOS",
        "first_name": "WILLIAM",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-01",
        "last_updated": "2011-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "VA",
            "license": "0811000922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha L Chang, PA-C
• Gulnara Charipova
• Charles E. Burt, PH.D. and Associates, P.C.
• Hanna Charnyshova, PTA
• Lincoln Chasteen, PA-C
• Neil Chatterjee, MD
• Tom Quyen Chau, D.D.S.
• Gayatri Manoj Chaubal, DMD
• Reema Asif Chaudri, MD
• Scott B Chelemer, M.D.

• Psychologist in Reston, VA
• Providers in Reston, VA by specialty
• Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.