Flourish Health Medical Practice LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

FLOURISH HEALTH MEDICAL PRACTICE LLC

Practice address

1655 Fort Myer Dr Ste 700
Arlington, VA 22209-3199

Phone

(650) 863-4774

NPI assigned

Sep 21, 2022

Last updated

Sep 21, 2022By 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

John Haskell

Title

President

Phone

(650) 863-4774

Specialties & licenses 3

Addresses

Tax ID family

Flourish Health Medical Practice LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Flourish Health Medical Practice LLC

  • Psychiatry Physician
  • Arlington, VA
  • NPI 1780312686
  NPD tax ID

Locations

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

{
    "created_epoch": "1663718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663718400000",
    "number": "1639892052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 W MAIN ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277013228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1655 FORT MYER DR STE 700",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222093199",
            "telephone_number": "650-863-4774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLOURISH HEALTH MEDICAL PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-21",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-19",
        "status": "A",
        "authorized_official_last_name": "HASKELL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-863-4774"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denilson Javier Flores Paz
• Maria Eugenia Flores
• Sebastian F Flores, PT
• Stephanie Flores
• Gretchen L Flossman, CRNA
• Flourish Health Medical Practice LLC
• Carlene Flynn
• Dinae Fobish, LPC
• Juliet A Fogarty
• Grace Gilmore Foley

• Community/Behavioral Health Agency in Arlington, VA
• Providers in Arlington, VA by specialty
• Community/Behavioral Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.