Organization Active NPI

Family Psychiatric Associates, P.C.

  • Specialist
  • Woodbridge, VA
National Provider Identifier
1740667666
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0101038031 Issued in VA
Legal business name
FAMILY PSYCHIATRIC ASSOCIATES, P.C.
Practice address
4343A Ridgewood Center Drive
Woodbridge, VA 22192
Phone
(703) 897-8970
Fax
(703) 897-9732
NPI assigned
Apr 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

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

Authorized official

Name
Ms. Kimberly Jo Carr, L.C.S.W.
Title
Clinical Director
Phone
(703) 581-8100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X 0101038031 VA Primary

Addresses

Primary practice location

4343A Ridgewood Center Drive
Woodbridge, VA 22192

Mailing address

4343A Ridgewood Center Drive
Woodbridge, VA 22192
Phone (703) 897-8970

Other names 1

  • Family Psychiatric Associates Doing business as

National Provider Directory

National Provider Directory

Locations

4343A Ridgewood Center Dr
Woodbridge, VA 22192
Phone (703) 897-8970

4343 Ridgewood Center Dr
#A
Woodbridge, VA 22192
Phone (703) 897-8970

4349 Ridgewood Center Dr
Ste 101
Woodbridge, VA 22192
Phone (703) 897-8970

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1430265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701907200000",
    "number": "1740667666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4343A RIDGEWOOD CENTER DRIVE",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "22192",
            "telephone_number": "703-897-8970",
            "fax_number": "703-897-9732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4343A RIDGEWOOD CENTER DRIVE",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "22192",
            "telephone_number": "703-897-8970",
            "fax_number": "703-897-9732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PSYCHIATRIC ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-29",
        "last_updated": "2023-12-07",
        "status": "A",
        "authorized_official_last_name": "CARR",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "703-581-8100",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "L.C.S.W."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101038031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Psychiatric Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodbridge, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; 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.