Organization Active NPI

Healthy Living Psychology

  • Clinical Social Worker
  • Fairfax, VA
National Provider Identifier
1922651033
Registry record updated Jul 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
HEALTHY LIVING PSYCHOLOGY
Practice address
9840 Main St Ste 202
Fairfax, VA 22031-3909
Phone
(703) 344-6218
NPI assigned
Jul 17, 2019
Last updated
Jul 17, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2019

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

Authorized official

Name
Amal RahhalNPI 1083801302
Title
Owner
Phone
(248) 345-6928

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

9840 Main St Ste 202
Fairfax, VA 22031-3909

Mailing address

9840 Main St Ste 202
Fairfax, VA 22031-3909
Phone (703) 344-6218

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL amy.glpg@gmail.com

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1563321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563321600000",
    "number": "1922651033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9840 MAIN ST STE 202",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220313909",
            "telephone_number": "703-344-6218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9840 MAIN ST STE 202",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220313909",
            "telephone_number": "703-344-6218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY LIVING PSYCHOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-17",
        "last_updated": "2019-07-17",
        "status": "A",
        "authorized_official_last_name": "RAHHAL",
        "authorized_official_first_name": "AMAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-345-6928"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "amy.glpg@gmail.com",
            "affiliation": "N",
            "address_1": "9840 Main St Ste 202",
            "city": "Fairfax",
            "state": "VA",
            "country_code": "US",
            "postal_code": "220313909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2019; 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.