Familyfirst Psychological Services, PC

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

0810003318 Issued in VA

Legal business name

FAMILYFIRST PSYCHOLOGICAL SERVICES, PC

Practice address

115 Park St SE
Suite 207
Vienna, VA 22180-4653

Phone

(703) 938-9090

Fax

(703) 938-9091

NPI assigned

Sep 8, 2010

Last updated

Sep 8, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kelly Theis, PH.D.NPI 1811093149

Title

President

Phone

(703) 938-9090

Specialties & licenses 1

Addresses

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kelly Heiges Theis, PH.D

  • Clinical Psychologist
  • Vienna, VA
  • NPI 1811093149
  Authorized official Same address or phone
• Mary Kathleen Hill, PH.D.

  • Psychologist
  • Fairfax, VA
  • NPI 1285948042
  NPD (past)
• Maria Veltsistas Kanakos, PSY.D.

  • Clinical Psychologist
  • Vienna, VA
  • NPI 1770713216
  NPD (past)
• Marcia Bonnie Kaufman, PH.D.

  • Psychologist
  • Vienna, VA
  • NPI 1306817994
  NPD (past)
• Marcia S Mofson, PH.D.

  • Clinical Psychologist
  • Vienna, VA
  • NPI 1891044566
  NPD (past)

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

{
    "created_epoch": "1283904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283904000000",
    "number": "1912214198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 PARK ST SE",
            "address_2": "SUITE 207",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221804653",
            "telephone_number": "703-938-9090",
            "fax_number": "703-938-9091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 PARK ST SE",
            "address_2": "SUITE 207",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221804653",
            "telephone_number": "703-938-9090",
            "fax_number": "703-938-9091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILYFIRST PSYCHOLOGICAL SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-08",
        "last_updated": "2010-09-08",
        "status": "A",
        "authorized_official_last_name": "THEIS",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-938-9090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "VA",
            "license": "0810003318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Homeira Fallahi
• Mark D Falls, MD
• Dezso Dennis Faludi, MD
• Family & Child Therapy LLC
• Family Counseling Center of Greater Washington
• Arthur Y Fan, LAC PHD OMD
• Allison Fantz, R-LPC
• Farah Farhoumand, DDS
• Foad Farhoumand, DDS
• Duyen T Faria, D.O.

• Clinical Child & Adolescent Psychologist in Vienna, VA
• Providers in Vienna, VA by specialty
• Clinical Child & Adolescent Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2010; 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.