S. Mark Cross, PHD, P.C.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810000982 Issued in VA

Legal business name

S. MARK CROSS, PHD, P.C.

Practice address

109 Park Washington CT
Falls Church, VA 22046-4519

Phone

(703) 533-5825

Fax

(703) 533-8431

NPI assigned

Nov 13, 2007

Organization subpart

No

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

Authorized official

Name

Dr. S. Mark Cross, PHD

Title

President / Owner

Phone

(703) 533-5825

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194912000000",
    "number": "1841470218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4132 MINTON DR",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220321131",
            "telephone_number": "703-533-5825",
            "fax_number": "703-533-8431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 PARK WASHINGTON CT",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220464519",
            "telephone_number": "703-533-5825",
            "fax_number": "703-533-8431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S. MARK CROSS, PHD, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-13",
        "last_updated": "2007-11-13",
        "status": "A",
        "authorized_official_last_name": "CROSS",
        "authorized_official_first_name": "S.",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT / OWNER",
        "authorized_official_telephone_number": "703-533-5825",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810000982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Falls Church, VA
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• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2007; 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.