Organization Active NPI

David E. Hiatt PHD MD PC

  • Adult Mental Health Clinic/Center
  • McLean, VA
National Provider Identifier
1932352838
Registry record updated Nov 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
0101045403 Issued in VA
Legal business name
DAVID E. HIATT PHD MD PC
Practice address
6845 Elm St
Suite 400
MC Lean, VA 22101-6007
Phone
(703) 821-7966
Fax
(703) 734-1441
NPI assigned
Oct 23, 2008
Last updated
Nov 19, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2009

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

Authorized official

Name
Dr. David Ellis Hiatt, MDNPI 1558588376
Title
President
Phone
(703) 821-7966

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 0101045403 VA Primary

Addresses

Primary practice location

6845 Elm St
Suite 400
MC Lean, VA 22101-6007

Mailing address

6845 Elm St
Suite 400
MC Lean, VA 22101-6007
Phone (703) 821-7966

National Provider Directory

National Provider Directory

Locations

6848 Elm St
Ste 400
McLean, VA 22101
Phone (703) 821-7966

Practitioners & affiliated clinicians

Practitioners 3

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": "1224720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258588800000",
    "number": "1932352838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6845 ELM ST",
            "address_2": "SUITE 400",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221016007",
            "telephone_number": "703-821-7966",
            "fax_number": "703-734-1441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6845 ELM ST",
            "address_2": "SUITE 400",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221016007",
            "telephone_number": "703-821-7966",
            "fax_number": "703-734-1441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID E. HIATT PHD MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-23",
        "last_updated": "2009-11-19",
        "status": "A",
        "authorized_official_last_name": "HIATT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ELLIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-821-7966",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "VA",
            "license": "0101045403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McLean, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2009; 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.