NPIMap

Organization Active NPI

George Mason University

  • Community/Behavioral Health Agency
  • Fairfax, VA
National Provider Identifier
1851174510
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
GEORGE MASON UNIVERSITY
Practice address
4455 George Mason Blvd.
Thompson Hall L040
Fairfax, VA 22030
Phone
(703) 993-3938
NPI assigned
Aug 16, 2023
Organization subpart
Yes
Parent organization
GEORGE MASON UNIVERSITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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

Authorized official

Name
Nicole Beadles
Title
Director
Phone
(703) 993-5127

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

4455 George Mason Blvd.
Thompson Hall L040
Fairfax, VA 22030

Mailing address

4400 University Dr # Ms 4B6
Fairfax, VA 22030-4422

National Provider Directory

National Provider Directory
Tax ID family
George Mason University Center for Psychological Services4 organizations share this tax ID, including this one
Part of
George Mason University Center for Psychological Services

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4400 University Dr
#4B6
Fairfax, VA 22030

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1692144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692144000000",
    "number": "1851174510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 UNIVERSITY DR # MS 4B6",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220304422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4455 GEORGE MASON BLVD.",
            "address_2": "THOMPSON HALL L040",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "22030",
            "telephone_number": "703-993-3938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE MASON UNIVERSITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GEORGE MASON UNIVERSITY",
        "enumeration_date": "2023-08-16",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-15",
        "status": "A",
        "authorized_official_last_name": "BEADLES",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "703-993-5127"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Aug 16, 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.

Verify at the official NPI Registry.