NPIMap

Organization Active NPI

Flourish Health Medical Practice LLC

  • Psychiatry Physician
  • Arlington, VA
National Provider Identifier
1780312686
Registry record updated Aug 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
FLOURISH HEALTH MEDICAL PRACTICE LLC
Practice address
1655 Fort Myer Dr Ste 700
Arlington, VA 22209-3199
Phone
(650) 863-4774
NPI assigned
Aug 10, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2022

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

Authorized official

Name
John Haskell
Title
President
Phone
(650) 863-4774

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

1655 Fort Myer Dr Ste 700
Arlington, VA 22209-3199

Mailing address

201 W Main St
Durham, NC 27701-3228

National Provider Directory

National Provider Directory
Tax ID family
Flourish Health Medical Practice LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1655 Fort Myer Dr
Ste 700
Arlington, VA 22209
Phone (202) 670-3017

NPI Registry JSON

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

{
    "created_epoch": "1660089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660089600000",
    "number": "1780312686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 W MAIN ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277013228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1655 FORT MYER DR STE 700",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222093199",
            "telephone_number": "650-863-4774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLOURISH HEALTH MEDICAL PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-10",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-09",
        "status": "A",
        "authorized_official_last_name": "HASKELL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-863-4774"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; 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.