Organization Active NPI

Olive Branch Behavior Therapy

  • Adolescent and Children Mental Health Clinic/Center
  • Alexandria, VA
National Provider Identifier
1760356539
Registry record updated Oct 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
OLIVE BRANCH BEHAVIOR THERAPY
Practice address
6399 Little River Tpke
Alexandria, VA 22312-5093
Phone
(571) 800-7777
NPI assigned
Oct 3, 2025
Last updated
Oct 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2025

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

Authorized official

Name
Saharla Jama
Title
Direct Support Professional
Phone
(571) 800-7777

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X NU
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU
Adolescent and Children Mental Health Clinic/Center 261QM0855X NU Primary
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

6399 Little River Tpke
Alexandria, VA 22312-5093

Mailing address

3645 Madison Watch Way
Falls Church, VA 22041-3681

Other practice location 1

3705 S George Mason Dr Ste C6S
Falls Church, VA 22041-3766
Phone (571) 800-7777

National Provider Directory

National Provider Directory

Locations

6399 Little River Tpke
Alexandria, VA 22312
Phone (571) 800-7777

NPI Registry JSON

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

{
    "created_epoch": "1759449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759449600000",
    "number": "1760356539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3645 MADISON WATCH WAY",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220413681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6399 LITTLE RIVER TPKE",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223125093",
            "telephone_number": "571-800-7777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3705 S George Mason Dr Ste C6S",
            "address_purpose": "LOCATION",
            "city": "Falls Church",
            "state": "VA",
            "postal_code": "220413766",
            "country_code": "US",
            "telephone_number": "571-800-7777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OLIVE BRANCH BEHAVIOR THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-03",
        "last_updated": "2025-10-03",
        "certification_date": "2025-10-03",
        "status": "A",
        "authorized_official_last_name": "JAMA",
        "authorized_official_first_name": "SAHARLA",
        "authorized_official_title_or_position": "DIRECT SUPPORT PROFESSIONAL",
        "authorized_official_telephone_number": "571-800-7777"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2025; 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.