Dr.Khanali's Neuropsychological Services, LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

DR.KHANALI'S NEUROPSYCHOLOGICAL SERVICES, LLC

Doing business as

Dr.Khanali's Neuropsychological Services, LLC

Practice address

1320 Central Park Blvd Ste 200
Fredericksburg, VA 22401-4953

Phone

(571) 317-1386

NPI assigned

Nov 24, 2021

Last updated

Aug 3, 2023By 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

Roya KhanaliNPI 1396101093

Title

Ceo

Phone

(571) 317-1386

Specialties & licenses 1

Addresses

Other names 1

• Dr.Khanali's Neuropsychological Services, LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Practitioners 2

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.

• Roya Khanali, MS, MA, PSYD

  • Psychologist
  • Fredericksburg, VA
  • NPI 1396101093
  Medicare reassignment NPD Authorized official
• Anais U Schultz

  • Psychiatric/Mental Health Nurse Practitioner
  • Fredericksburg, VA
  • NPI 1023870243
  Medicare reassignment

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

{
    "created_epoch": "1637712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691020800000",
    "number": "1952068934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 CENTRAL PARK BLVD STE 200",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224014953",
            "telephone_number": "571-317-1386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 CENTRAL PARK BLVD STE 200",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224014953",
            "telephone_number": "571-317-1386"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2929 Arch St Ste 1700",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191047327",
            "country_code": "US",
            "telephone_number": "571-317-1386",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DR.KHANALI'S NEUROPSYCHOLOGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-24",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A",
        "authorized_official_last_name": "KHANALI",
        "authorized_official_first_name": "ROYA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "571-317-1386"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr.Khanali's Neuropsychological Services, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Adult Mental Health Clinic/Center in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Adult Mental Health Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.