Active NPI
RCH Brain & Mind Center VA, PC
- Infusion Therapy Clinic/Center
- Fairfax, VA
National Provider Identifier
1851107544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infusion Therapy Clinic/Center
- Legal business name
- RCH BRAIN & MIND CENTER VA, PC
- Practice address
- 8316 Arlington Blvd Ste 420
Fairfax, VA 22031-5216 - Phone
- (571) 307-2741
- NPI assigned
- Dec 6, 2024
- Last updated
- Jan 10, 2025
- 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
- Danielle Williams
- Title
- Financial Anaylst
- Phone
- (817) 629-0752
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infusion Therapy Clinic/Center | 261QI0500X | Primary | ||
| Medical Specialty Clinic/Center | 261QM2500X |
Addresses
Primary practice location
8316 Arlington Blvd Ste 420
Fairfax, VA 22031-5216
Mailing address
1307 8TH Ave Ste 403
Fort Worth, TX 76104-4143
Phone (682) 394-3500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 4
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.
-
- Physical Medicine & Rehabilitation Physician
- Seattle, WA
- NPI 1174727804
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733443200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1736467200000",
"number": "1851107544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1307 8TH AVE STE 403",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761044143",
"telephone_number": "682-394-3500",
"fax_number": "817-862-7238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8316 ARLINGTON BLVD STE 420",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220315216",
"telephone_number": "571-307-2741"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RCH BRAIN & MIND CENTER VA, PC",
"organizational_subpart": "NO",
"enumeration_date": "2024-12-06",
"last_updated": "2025-01-10",
"certification_date": "2025-01-10",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "DANIELLE",
"authorized_official_title_or_position": "FINANCIAL ANAYLST",
"authorized_official_telephone_number": "817-629-0752"
},
"taxonomies": [
{
"code": "261QI0500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Infusion Therapy",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.