Organization Active NPI

Alcohol and Drug Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Falls Church, VA
National Provider Identifier
1689723504
Registry record updated Jun 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
0718000136 Issued in VA
Legal business name
ALCOHOL AND DRUG SERVICES
Practice address
6245 Leesburg Pike
Suite 440
Falls Church, VA 22044-2106
Phone
(703) 533-0180
Fax
(703) 532-5809
NPI assigned
Jan 9, 2007
Last updated
Jun 13, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2008

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

Authorized official

Name
Mr. Pedro Augusto Aybar, LSATP
Title
Senior Clinician
Phone
(703) 533-0180

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 0718000136 VA Primary

Addresses

Primary practice location

6245 Leesburg Pike
Suite 440
Falls Church, VA 22044-2106

Mailing address

6245 Leesburg Pike
Suite 440
Falls Church, VA 22044-2106
Phone (703) 533-0180

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1689723504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6245 LEESBURG PIKE",
            "address_2": "SUITE 440",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220442106",
            "telephone_number": "703-533-0180",
            "fax_number": "703-532-5809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6245 LEESBURG PIKE",
            "address_2": "SUITE 440",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220442106",
            "telephone_number": "703-533-0180",
            "fax_number": "703-532-5809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALCOHOL AND DRUG SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "AYBAR",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_middle_name": "AUGUSTO",
        "authorized_official_title_or_position": "SENIOR CLINICIAN",
        "authorized_official_telephone_number": "703-533-0180",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LSATP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "VA",
            "license": "0718000136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; 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.