Organization Active NPI

Stanton E. Samenow, PH.D., P.C.

  • Clinical Psychologist
  • Alexandria, VA
National Provider Identifier
1780824243
Registry record updated Feb 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
VA. LIC. #621 Issued in VA
Legal business name
STANTON E. SAMENOW, PH.D., P.C.
Practice address
4921 Seminary Road
Suite 104
Alexandria, VA 22311
Phone
(703) 931-0004
Fax
(703) 379-7288
NPI assigned
Feb 24, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2009

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

Authorized official

Name
Stanton E. Samenow, PH.D.
Title
President
Phone
(703) 931-0004

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X VA. LIC. #621 VA Primary

Addresses

Primary practice location

4921 Seminary Road
Suite 104
Alexandria, VA 22311

Mailing address

4921 Seminary Road
Alexandria, VA 22311
Phone (703) 931-0004

National Provider Directory

National Provider Directory

Locations

4921 Seminary Rd
Ste 104
Alexandria, VA 22311
Phone (703) 931-0004

NPI Registry JSON

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

{
    "created_epoch": "1235433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235433600000",
    "number": "1780824243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4921 SEMINARY ROAD",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "22311",
            "telephone_number": "703-931-0004",
            "fax_number": "703-379-7288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4921 SEMINARY ROAD",
            "address_2": "SUITE 104",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "22311",
            "telephone_number": "703-931-0004",
            "fax_number": "703-379-7288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANTON E. SAMENOW, PH.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-24",
        "last_updated": "2009-02-24",
        "status": "A",
        "authorized_official_last_name": "SAMENOW",
        "authorized_official_first_name": "STANTON",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-931-0004",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "VA. LIC. #621",
            "primary": true
        }
    ],
    "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 Feb 24, 2009; 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.