Organization Active NPI

Phillips Programs

  • Community/Behavioral Health Agency
  • Annandale, VA
National Provider Identifier
1659453231
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
135 Issued in VA
Legal business name
PHILLIPS PROGRAMS
Practice address
7010 Braddock Rd
Annandale, VA 22003-6006
Phone
(703) 658-9054
Fax
(703) 658-9056
NPI assigned
Oct 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Sandra Porteous, M.A.
Title
Program Manager
Phone
(703) 658-9054

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 135 VA Primary

Addresses

Primary practice location

7010 Braddock Rd
Annandale, VA 22003-6006

Mailing address

7010 Braddock Rd
Annandale, VA 22003-6006
Phone (703) 658-9054

Other names 1

  • Phillips Family Partners Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Phillips Family Partners2 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.

Locations

7010 Braddock Rd
Annandale, VA 22003
Phone (703) 941-0780

Practitioners & affiliated clinicians

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659453231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7010 BRADDOCK RD",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220036006",
            "telephone_number": "703-658-9054",
            "fax_number": "703-658-9056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7010 BRADDOCK RD",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220036006",
            "telephone_number": "703-658-9054",
            "fax_number": "703-658-9056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILLIPS PROGRAMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PORTEOUS",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "703-658-9054",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Phillips Family Partners",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Annandale, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.