Organization Active NPI

Cognitive Solutions LLC

  • Clinical Neuropsychologist
  • Fairfax, VA
National Provider Identifier
1720316755
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
1000591 Issued in DC
Legal business name
COGNITIVE SOLUTIONS LLC
Practice address
10400 Eaton PL Ste 225
Fairfax, VA 22030-2210
Phone
(202) 903-4763
Fax
(202) 333-0366
NPI assigned
Dec 2, 2009
Last updated
May 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2024

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

Authorized official

Name
Dr. Stephanie Renee Johnson, PHDNPI 1023248226
Title
Owner
Phone
(202) 903-4763

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X NU
Primary Care Clinic/Center 261QP2300X NU
Clinical Neuropsychologist 103G00000X 1000591 DC Primary

Addresses

Primary practice location

10400 Eaton PL Ste 225
Fairfax, VA 22030-2210

Mailing address

1025 Thomas Jefferson St. NW
Suite 420 East
Washington, DC 20007
Phone (202) 903-4763

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091208000491 DC Part B Supplier - Clinic/Group Practice 6507905387 Receives reassigned benefits from 2 practitioners
Practice locations: Oxon Hill, MD

National Provider Directory

National Provider Directory

Locations

1010 Wisconsin Ave NW
Ste 505
Washington, DC 20007
Phone (202) 688-1604

1025 Thomas Jefferson St NW
Ste 420
Washington, DC 20007

1025 Thomas Jefferson St NW
Ste 420E
Washington, DC 20007
Phone (202) 903-4763

10400 Eaton Pl
Ste 225
Fairfax, VA 22030
Phone (202) 903-4763

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1259712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716163200000",
    "number": "1720316755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 THOMAS JEFFERSON ST. NW",
            "address_2": "SUITE 420 EAST",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20007",
            "telephone_number": "202-903-4763",
            "fax_number": "202-333-0366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10400 EATON PL STE 225",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302210",
            "telephone_number": "202-903-4763",
            "fax_number": "202-333-0366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COGNITIVE SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-02",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-903-4763",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "DC",
            "license": "1000591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.