Smile for Life Behavioral Health

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

0101232216 Issued in VA

Legal business name

SMILE FOR LIFE BEHAVIORAL HEALTH

Doing business as

Smile For Life Behavioral Health

Practice address

1455 Old Bridge Rd
Suite 206
Woodbridge, VA 22192-2727

Phone

(703) 492-0500

Fax

(703) 497-0806

NPI assigned

Jul 24, 2007

Last updated

May 21, 2008By 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. Swarnalatha Prasanna, M.D.NPI 1063518793

Title

Psychiatrist

Phone

(703) 492-0500

Specialties & licenses 1

Addresses

Other names 1

• Smile For Life Behavioral Health Doing business as

Locations

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.

• Swarnalatha Prasanna, MD

  • Psychiatry Physician
  • Woodbridge, VA
  • NPI 1063518793
  Authorized official Same address or phone

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211328000000",
    "number": "1942400189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 OLD BRIDGE RD STE 206",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221922727",
            "telephone_number": "703-492-0500",
            "fax_number": "703-497-0806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 OLD BRIDGE RD",
            "address_2": "SUITE 206",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221922727",
            "telephone_number": "703-492-0500",
            "fax_number": "703-497-0806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE FOR LIFE BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-24",
        "last_updated": "2008-05-21",
        "status": "A",
        "authorized_official_last_name": "PRASANNA",
        "authorized_official_first_name": "SWARNALATHA",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "703-492-0500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "VA",
            "license": "0101232216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smile For Life Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Janis Ann Slezak, RDH
• Arthur Slye
• Smile Dental Care PC
• Smile Dental Center PLLC
• Smile Doctors Virginia, PLLC
• Smiles Care Dentistry PLLC
• Angelia Lynette Smiley, MA LPC
• Christine Alane Smith, NP
• Courtney Smith
• Dorothy Smith, LPC

• Preferred Provider Organization in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Preferred Provider Organization in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; 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.