NPIMap

Organization Active NPI

CS Psychological Services

  • Clinical Psychologist
  • Gainesville, VA
National Provider Identifier
1891245080
Registry record updated Oct 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0810005234 Issued in VA
Legal business name
CS PSYCHOLOGICAL SERVICES
Practice address
7001 Heritage Village PLZ Ste 230
Gainesville, VA 20155-3095
Phone
(571) 389-4639
NPI assigned
Oct 11, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2016

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

Authorized official

Name
Cari Short, PSY.D.
Title
Owner/Licensed Clinical Psychologis
Phone
(571) 389-4639

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 0810005234 VA Primary

Addresses

Primary practice location

7001 Heritage Village PLZ Ste 230
Gainesville, VA 20155-3095

Mailing address

7001 Heritage Village PLZ Ste 230
Gainesville, VA 20155-3095
Phone (571) 389-4639

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1476144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476144000000",
    "number": "1891245080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7001 HERITAGE VILLAGE PLZ STE 230",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201553095",
            "telephone_number": "571-389-4639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7001 HERITAGE VILLAGE PLZ STE 230",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201553095",
            "telephone_number": "571-389-4639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CS PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-11",
        "last_updated": "2016-10-11",
        "status": "A",
        "authorized_official_last_name": "SHORT",
        "authorized_official_first_name": "CARI",
        "authorized_official_title_or_position": "OWNER/LICENSED CLINICAL PSYCHOLOGIS",
        "authorized_official_telephone_number": "571-389-4639",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810005234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2016; 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.