Active NPI
Sheree Cumberbatch
- Marriage & Family Therapist
- Springfield, VA
National Provider Identifier
1851068084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 0730000558
- Practice address
- 9001 Braddock Rd
Springfield, VA 22151-1009 - Phone
- (571) 748-5999
- NPI assigned
- Aug 25, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 0730000558 | VA | Primary |
Addresses
Primary practice location
9001 Braddock Rd
Springfield, VA 22151-1009
Mailing address
625 E Monroe Ave Apt 224
Alexandria, VA 22301-3024
Phone (757) 971-3083
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Springfield |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0730000558 | VA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629849600000",
"number": "1851068084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 E MONROE AVE APT 224",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223013024",
"telephone_number": "757-971-3083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9001 BRADDOCK RD",
"city": "SPRINGFIELD",
"state": "VA",
"postal_code": "221511009",
"telephone_number": "571-748-5999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUMBERBATCH",
"first_name": "SHEREE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-25",
"last_updated": "2021-08-25",
"certification_date": "2021-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "VA",
"license": "0730000558",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Springfield",
"affiliation": "N",
"address_1": "9001 Braddock Rd",
"city": "Springfield",
"state": "VA",
"country_code": "US",
"postal_code": "221511009",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Springfield, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.