Active NPI
Cheryl Bragg
- School Psychologist
- Annandale, VA
National Provider Identifier
1689022725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 363751
- Practice address
- 7010 Braddock Rd
Annandale, VA 22003-6006 - Phone
- (703) 941-8810
- Fax
- (703) 658-2378
- NPI assigned
- May 31, 2016
- Last updated
- May 31, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 363751 | VA | Primary |
Addresses
Primary practice location
7010 Braddock Rd
Annandale, VA 22003-6006
Mailing address
7010 Braddock Rd
Phillips Programs for Children and Families
Annandale, VA 22003-6006
Phone (703) 941-8810
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 363751 | VA | MD | School Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phillips Programs | Past | Accepting new patients | |
| Phillips Programs | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Social Worker
- Annandale, VA
- NPI 1568714624
-
dba Phillips Family Partners
- Community/Behavioral Health Agency
- Annandale, VA
- NPI 1659453231
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464652800000",
"number": "1689022725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7010 BRADDOCK RD",
"address_2": "PHILLIPS PROGRAMS FOR CHILDREN AND FAMILIES",
"city": "ANNANDALE",
"state": "VA",
"postal_code": "220036006",
"telephone_number": "703-941-8810",
"fax_number": "703-658-2378"
},
{
"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": "703-941-8810",
"fax_number": "703-658-2378"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAGG",
"first_name": "CHERYL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-31",
"last_updated": "2016-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "VA",
"license": "363751",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Annandale, VA
- Elizabeth Mary Bostwick, FNP
- Said Boukercha, PHARMD
- Hillary Hite Bowen
- Mandy Bowen, L.C.S.W
- Jaclyn Olivia Boyce
- Robert Anthony Breiner, DPM
- Brethren Non Emergency Medical Transportion Services L.L.C
- Lottie Suzanne Brewer, FNP-C
- Magdalena Krystyna Brier, MA
- Brightview Fairfax, LLC (Brightview Woodburn)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.