Individual provider Active NPI

Emily George

  • Clinical Psychologist
  • Falls Church, VA
National Provider Identifier
1891131272
Registry record updated Nov 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0810005859 Issued in VA
Practice address
5691 Columbia Pike Ste 200
Falls Church, VA 22041-2888
Phone
(703) 998-5606
NPI assigned
May 13, 2013
Reactivated
Jan 16, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 0810005859 VA Primary

Addresses

Primary practice location

5691 Columbia Pike Ste 200
Falls Church, VA 22041-2888

Mailing address

5691 Columbia Pike Ste 200
Falls Church, VA 22041-2888

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

LicenseStateTypeSpecialty
0810005859VAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Family Center Counseling Associates PLLC Clinical Past Accepting new patients
Family Center Counseling Clinical Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1368403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667865600000",
    "number": "1891131272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5691 COLUMBIA PIKE STE 200",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220412888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5691 COLUMBIA PIKE STE 200",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220412888",
            "telephone_number": "703-998-5606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "EMILY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-13",
        "last_updated": "2022-11-08",
        "certification_date": "2022-11-08",
        "deactivation_date": "2018-05-23",
        "reactivation_date": "2019-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810005859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2022; 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.