Gustavo Richard Nava, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810003091 Issued in VA

Practice address

5691 Columbia Park
Suite 200
Falls Church, VA 22041

Phone

(703) 998-5606

Fax

(703) 998-5608

NPI assigned

Oct 24, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Family Center Counseling

  • Clinical Psychologist
  • Falls Church, VA
  • NPI 1881872505
  NPD (past)
• The Family Center Counseling Associates PLLC

  • Professional Counselor
  • Falls Church, VA
  • NPI 1861571507

  Clinical

  NPD (past)

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902989593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5691 COLUMBIA PARK",
            "address_2": "SUITE 200",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "22041",
            "telephone_number": "703-998-5606",
            "fax_number": "703-998-5608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5691 COLUMBIA PARK",
            "address_2": "SUITE 200",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "22041",
            "telephone_number": "703-998-5606",
            "fax_number": "703-998-5608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAVA",
        "first_name": "GUSTAVO",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810003091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "175319",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nastaran Ejtemai DDS PC
• Steven D Nathan, MD
• Christopher Trevlyn Nathaniel, ATC
• Gloria Nathanson
• National Orthopedic Clinic and Spine Center
• Laurie Ann Navarrete, DNP, APRN, FNP-BC
• Hannah Navarro, PSY.D
• Susanne Navas
• Raana Nawab, CRNA
• Hassan Nayer, MD

• Clinical Psychologist in Falls Church, VA
• Providers in Falls Church, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.