NPIMap

Organization Active NPI

Applied Neuropsychological Services, P.C.

  • Clinical Neuropsychologist
  • Fairfax, VA
National Provider Identifier
1730525205
Registry record updated Sep 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
0810003332 Issued in VA
Legal business name
APPLIED NEUROPSYCHOLOGICAL SERVICES, P.C.
Practice address
11130 Fairfax Blvd. Suite 200
Fairfax, VA 22030-5017
Phone
(703) 879-5130
Fax
(703) 635-3681
NPI assigned
May 10, 2013
Last updated
Sep 6, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2020

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

Authorized official

Name
Dr. Mercedes Helena Alfaro, PH.D.NPI 1952352916
Title
Owner
Phone
(703) 879-5130

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103G00000X 0810003332 VA Primary

Addresses

Primary practice location

11130 Fairfax Blvd. Suite 200
Fairfax, VA 22030-5017

Mailing address

PO Box 640
Centreville, VA 20122-0640
Phone (703) 879-5130

Other practice location 1

11166 Fairfax Blvd
Suite 402
Fairfax, VA 22030-5017
Phone (703) 879-5130

National Provider Directory

National Provider Directory

Locations

5101I Backlick Rd
Annandale, VA 22003
Phone (703) 642-1498

11166 Fairfax Blvd
Ste 402
Fairfax, VA 22030
Phone (703) 879-5130

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": "1368144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599350400000",
    "number": "1730525205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 640",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201220640",
            "telephone_number": "703-879-5130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11130 FAIRFAX BLVD. SUITE 200",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220305017",
            "telephone_number": "703-879-5130",
            "fax_number": "703-635-3681"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11166 Fairfax Blvd",
            "address_2": "Suite 402",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220305017",
            "country_code": "US",
            "telephone_number": "703-879-5130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "APPLIED NEUROPSYCHOLOGICAL SERVICES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-10",
        "last_updated": "2020-09-06",
        "certification_date": "2020-09-06",
        "status": "A",
        "authorized_official_last_name": "ALFARO",
        "authorized_official_first_name": "MERCEDES",
        "authorized_official_middle_name": "HELENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-879-5130",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "VA",
            "license": "0810003332",
            "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 Sep 6, 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.