Organization Active NPI

Neuroscience Consultants, PLC

  • Neuromuscular Medicine (Psychiatry & Neurology) Physician
  • Reston, VA
National Provider Identifier
1871508366
Registry record updated Sep 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromuscular Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084N0008X
Legal business name
NEUROSCIENCE CONSULTANTS, PLC
Practice address
12007 Sunrise Valley Dr
Suite 120
Reston, VA 20191-3479
Phone
(703) 478-0440
NPI assigned
Jul 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2023

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

Authorized official

Name
David W Francis
Title
Business Manager
Phone
(301) 620-9617

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromuscular Medicine (Psychiatry & Neurology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0008X Primary

Addresses

Primary practice location

12007 Sunrise Valley Dr
Suite 120
Reston, VA 20191-3479

Mailing address

PO Box 79429
Baltimore, MD 21279-0429
Phone (301) 620-9762

Other identifiers 4

IdentifierTypeStateIssuer
463890C2OtherVAMAMSI
463890C2OtherVAALLIANCE
223961OtherVAANTHEM
4571OtherDCCAREFIRST DC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120425000541 DC Part B Supplier - Clinic/Group Practice 3577725282 Receives reassigned benefits from 5 practitioners
Practice locations: MC Lean, VA; Reston, VA

National Provider Directory

National Provider Directory

Locations

3700 Joseph Siewick Dr
Ste 304
Fairfax, VA 22033
Phone (703) 264-1361

1420 Beverly Rd
Ste 347
Mc Lean, VA 22101
Phone (703) 478-0440

1830 Town Center Dr
Ste 410
Reston, VA 20190
Phone (703) 478-0440

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695945600000",
    "number": "1871508366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 79429",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212790429",
            "telephone_number": "301-620-9762",
            "fax_number": "301-624-5731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12007 SUNRISE VALLEY DR",
            "address_2": "SUITE 120",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201913479",
            "telephone_number": "703-478-0440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROSCIENCE CONSULTANTS, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "status": "A",
        "authorized_official_last_name": "FRANCIS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "301-620-9617"
    },
    "taxonomies": [
        {
            "code": "2084N0008X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neuromuscular Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "463890C2",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALLIANCE",
            "identifier": "463890C2",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "223961",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST DC",
            "identifier": "4571",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reston, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2023; 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.

Verify at the official NPI Registry.