Active NPI
John Thomas Giroux, PH.D.
- Clinical Psychologist
- Fairfax, VA
National Provider Identifier
1770684367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 0810001808
- Practice address
- 11204 Waples Mill Rd
Fairfax, VA 22030-6048 - Phone
- (703) 218-8500
- Fax
- (703) 359-0463
- NPI assigned
- Sep 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 0810001808 | VA | Primary |
Addresses
Primary practice location
11204 Waples Mill Rd
Fairfax, VA 22030-6048
Mailing address
11204 Waples Mill Rd
Fairfax, VA 22030-6048
Phone (703) 218-8500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7713746 | Medicaid | VA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jgiroux28170@soc.inova.org | Health Information Exchange (HIE) | Inova Kellar Center |
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0810001808 | VA | MD | Clinical Psychologist |
Interoperability endpoints
- jgiroux28170@soc.inova.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1770684367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11204 WAPLES MILL RD",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220306048",
"telephone_number": "703-218-8500",
"fax_number": "703-359-0463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11204 WAPLES MILL RD",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220306048",
"telephone_number": "703-218-8500",
"fax_number": "703-359-0463"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIROUX",
"first_name": "JOHN",
"middle_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-26",
"last_updated": "2023-11-27",
"certification_date": "2020-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "0810001808",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7713746",
"state": "VA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jgiroux28170@soc.inova.org",
"affiliation": "Y",
"endpointDescription": "Health Information Exchange",
"affiliationName": "Inova Kellar Center",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "11204 Waples Mill Rd",
"city": "Fairfax",
"state": "VA",
"country_code": "US",
"postal_code": "220306048",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Nov 27, 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.