Susan Kinkead-Acree, MD, PLLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

0101244394 Issued in VA

Legal business name

SUSAN KINKEAD-ACREE, MD, PLLC

Practice address

1320 Old Chain Bridge Rd
Suite 420
MC Lean, VA 22101-3956

Phone

(703) 992-6537

Fax

(703) 992-6539

NPI assigned

Mar 9, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Susan Kinkead-Acree, MD

Title

President

Phone

(703) 992-6537

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1236556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414022400000",
    "number": "1790926426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1485 CHAIN BRIDGE RD",
            "address_2": "SUITE 204",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221014501",
            "telephone_number": "703-992-6537",
            "fax_number": "703-992-6539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 OLD CHAIN BRIDGE RD",
            "address_2": "SUITE 420",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221013956",
            "telephone_number": "703-992-6537",
            "fax_number": "703-992-6539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN KINKEAD-ACREE, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-09",
        "last_updated": "2014-10-23",
        "status": "A",
        "authorized_official_last_name": "KINKEAD-ACREE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-992-6537",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "VA",
            "license": "0101244394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Mental Health Clinic/Center in MC Lean, VA
• Providers in MC Lean, VA by specialty
• Adult Mental Health Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2014; 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.