Active NPI
Alpha Medical & Behavioral Health
- Primary Care Clinic/Center
- Stafford, VA
National Provider Identifier
1831821784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- ALPHA MEDICAL & BEHAVIORAL HEALTH
- Practice address
- 800 Corporate Dr Ste 301
Stafford, VA 22554-4889 - Phone
- (571) 398-0473
- NPI assigned
- Jun 29, 2022
- Last updated
- Mar 15, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ruby Anumah
- Title
- Nure Practitioner
- Phone
- (571) 275-3125
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | NU | ||
| Primary Care Clinic/Center | 261QP2300X | NU | Primary |
Addresses
Primary practice location
800 Corporate Dr Ste 301
Stafford, VA 22554-4889
Mailing address
800 Corporate Dr Ste 301
Stafford, VA 22554-4889
Phone (571) 398-0473
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255698635 | Medicaid | VA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Stafford, VA
- NPI 1255698635
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656460800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678838400000",
"number": "1831821784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 CORPORATE DR STE 301",
"city": "STAFFORD",
"state": "VA",
"postal_code": "225544889",
"telephone_number": "571-398-0473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 CORPORATE DR STE 301",
"city": "STAFFORD",
"state": "VA",
"postal_code": "225544889",
"telephone_number": "571-398-0473"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALPHA MEDICAL & BEHAVIORAL HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2022-06-29",
"last_updated": "2023-03-15",
"certification_date": "2023-03-15",
"status": "A",
"authorized_official_last_name": "ANUMAH",
"authorized_official_first_name": "RUBY",
"authorized_official_title_or_position": "NURE PRACTITIONER",
"authorized_official_telephone_number": "571-275-3125"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1255698635",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stafford, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.