Washington Behavioral Health, PC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

99461201 Issued in VA

Legal business name

WASHINGTON BEHAVIORAL HEALTH, PC

Practice address

8301 Arlington Blvd
Suite #100
Fairfax, VA 22031-2902

Phone

(703) 356-0039

Fax

(703) 738-4406

NPI assigned

Feb 25, 2009

Organization subpart

No

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

Authorized official

Name

Husam K. Alathari, MD

Title

Owner/Director

Phone

(703) 356-0039

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Washington Behavioral Health, PC

  • Psychiatry Physician
  • Woodbridge, VA
  • NPI 1083854392

  O20090622000067

  Same enrollment

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

{
    "created_epoch": "1235520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235520000000",
    "number": "1902046360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8301 ARLINGTON BLVD",
            "address_2": "SUITE #100",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220312902",
            "telephone_number": "703-356-0039",
            "fax_number": "703-738-4406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8301 ARLINGTON BLVD",
            "address_2": "SUITE #100",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220312902",
            "telephone_number": "703-356-0039",
            "fax_number": "703-738-4406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON BEHAVIORAL HEALTH, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-25",
        "last_updated": "2009-02-25",
        "status": "A",
        "authorized_official_last_name": "ALATHARI",
        "authorized_official_first_name": "HUSAM",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "703-356-0039",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "99461201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jean Ann Ward, PH.D.
• Kevin Patrick Ward, D.C.
• Maya Ward
• Michelle R. Ward, LPC, LMFT
• Kristin Susan Hisa Warner, PT, DPT
• Washington Hospital Center
• Washington Imaging Associates - Maryland LLC
• Washington Mindcare Institute
• Washington Radiology Assoc PLLC
• Washington Radiology Associates, PLLC

• All providers in Fairfax, VA
• Psychiatry Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2009; 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.