NPIMap

Organization Active NPI

Director of Finance-County of Fairfax VA

  • Early Intervention Provider Agency
  • Fairfax, VA
National Provider Identifier
1952334450
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
DIRECTOR OF FINANCE-COUNTY OF FAIRFAX VA
Practice address
3750 Blenheim Blvd
Fairfax, VA 22030-1806
Phone
(703) 246-7121
Fax
(703) 653-1385
NPI assigned
Jul 8, 2006
Organization subpart
Yes
Parent organization
COUNTY OF FAIRFAX, VIRGINIAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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

Authorized official

Name
Bryan J Hill
Title
County Executive
Phone
(703) 324-2536

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X Primary
Multi-Specialty Clinic/Center 261QM1300X 113 VA

Addresses

Primary practice location

3750 Blenheim Blvd
Fairfax, VA 22030-1806

Mailing address

12000 Government Center Pkwy
Suite 552
Fairfax, VA 22035-0001
Phone (703) 324-3360

Other identifiers 7

IdentifierTypeStateIssuer
191539OtherVAANTHEM
191541OtherVAANTHEM
004979737MedicaidVA
191540OtherVAANTHEM
293450OtherVAAMERIGROUP
113512OtherVAKAISER PERMANENTE
002193312002OtherVAUNITED HEALTHCARE

Other names 1

  • Early Intervention Services, Fairfax-Falls Church CSB Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Fairfax County Virginia6 organizations share this tax ID, including this one
Part of
Fairfax County Virginia

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4480 King St
Fl 5
Alexandria, VA 22302
Phone (703) 746-3458

12015 Route 50
Ste 200
Fairfax, VA 22033
Phone (703) 246-7121

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698624000000",
    "number": "1952334450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12000 GOVERNMENT CENTER PKWY",
            "address_2": "SUITE 552",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220350001",
            "telephone_number": "703-324-3360",
            "fax_number": "703-324-4573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3750 BLENHEIM BLVD",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220301806",
            "telephone_number": "703-246-7121",
            "fax_number": "703-653-1385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIRECTOR OF FINANCE-COUNTY OF FAIRFAX VA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTY OF FAIRFAX, VIRGINIA",
        "enumeration_date": "2006-07-08",
        "last_updated": "2023-10-30",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "COUNTY EXECUTIVE",
        "authorized_official_telephone_number": "703-324-2536"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "VA",
            "license": "113",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "191539",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "191541",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004979737",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "191540",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "293450",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER PERMANENTE",
            "identifier": "113512",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "002193312002",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Early Intervention Services, Fairfax-Falls Church CSB",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Early Intervention Services, Fairfax-Falls Church CSB",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 30, 2023; 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.