Active NPI
Healthy Living Psychology
- Clinical Social Worker
- Fairfax, VA
National Provider Identifier
1922651033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- 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, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amal Rahhal
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | amy.glpg@gmail.com |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Clinical Social Worker
- Fairfax, VA
- NPI 1083801302
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.