NPIMap

Organization Active NPI

Potomac Behavioral Solutions

  • Clinical Psychologist
  • Arlington, VA
National Provider Identifier
1780950592
Registry record updated Mar 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0810004487 Issued in VA
Legal business name
POTOMAC BEHAVIORAL SOLUTIONS
Practice address
2001 Jefferson Davis Hwy
Suite 211
Arlington, VA 22202-3603
Phone
(571) 257-3378
Fax
(571) 257-0906
NPI assigned
Mar 26, 2012
Last updated
Mar 26, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2012

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

Authorized official

Name
Dr. Joanna Marie Marino, PHDNPI 1144596958
Title
Director, Ceo
Phone
(571) 257-3378

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 0810004487 VA Primary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 0810004539 VA
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X

Addresses

Primary practice location

2001 Jefferson Davis Hwy
Suite 211
Arlington, VA 22202-3603

Mailing address

2001 Jefferson Davis Hwy
Suite 211
Arlington, VA 22202-3603
Phone (571) 257-3378

National Provider Directory

National Provider Directory

Locations

2001 Jefferson Davis Hwy
Ste 211
Arlington, VA 22240
Phone (202) 552-0769

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1332720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332720000000",
    "number": "1780950592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 JEFFERSON DAVIS HWY",
            "address_2": "SUITE 211",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222023603",
            "telephone_number": "571-257-3378",
            "fax_number": "571-257-0906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 JEFFERSON DAVIS HWY",
            "address_2": "SUITE 211",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222023603",
            "telephone_number": "571-257-3378",
            "fax_number": "571-257-0906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POTOMAC BEHAVIORAL SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-26",
        "last_updated": "2012-03-26",
        "status": "A",
        "authorized_official_last_name": "MARINO",
        "authorized_official_first_name": "JOANNA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "DIRECTOR, CEO",
        "authorized_official_telephone_number": "571-257-3378",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810004487",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810004539",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Mar 26, 2012; 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.