Individual provider Active NPI

Bassel Fouad Helmi

  • School Psychologist
  • Fredericksburg, VA
National Provider Identifier
1760723670
Registry record updated Mar 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
Practice address
4510 Plank Rd Ste 100
Elite Academy
Fredericksburg, VA 22407-0138
Phone
(540) 412-5028
Fax
(540) 412-5030
NPI assigned
Mar 4, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X
School Psychologist 103TS0200X Primary

Addresses

Primary practice location

4510 Plank Rd Ste 100
Elite Academy
Fredericksburg, VA 22407-0138

Mailing address

4510 Plank Road, Ste. 100, Box 5
Elite Academy
Fredericksburg, VA 22407-0138
Phone (540) 412-5028

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1362355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362355200000",
    "number": "1760723670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4510 PLANK ROAD, STE. 100, BOX 5",
            "address_2": "ELITE ACADEMY",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224070138",
            "telephone_number": "540-412-5028",
            "fax_number": "540-412-5030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4510 PLANK RD STE 100",
            "address_2": "ELITE ACADEMY",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224070138",
            "telephone_number": "540-412-5028",
            "fax_number": "540-412-5030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELMI",
        "first_name": "BASSEL",
        "middle_name": "FOUAD",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-04",
        "last_updated": "2013-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2013; 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.