NPIMap

Organization Active NPI

Dominion Hospital Physicians Group

  • Psychiatry Physician
  • Falls Church, VA
National Provider Identifier
1962637793
Registry record updated May 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
DOMINION HOSPITAL PHYSICIANS GROUP
Practice address
2960 Sleepy Hollow Rd
Falls Church, VA 22044-2030
Phone
(703) 538-2889
NPI assigned
May 22, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2009

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

Authorized official

Name
Ms. Claire Polk
Title
Administrator
Phone
(703) 538-2889

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X VA Primary

Addresses

Primary practice location

2960 Sleepy Hollow Rd
Falls Church, VA 22044-2030

Mailing address

2960 Sleepy Hollow Rd
Falls Church, VA 22044-2030
Phone (703) 538-2889

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1242950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242950400000",
    "number": "1962637793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2960 SLEEPY HOLLOW RD",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220442030",
            "telephone_number": "703-538-2889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2960 SLEEPY HOLLOW RD",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220442030",
            "telephone_number": "703-538-2889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMINION HOSPITAL PHYSICIANS GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-22",
        "last_updated": "2009-05-22",
        "status": "A",
        "authorized_official_last_name": "POLK",
        "authorized_official_first_name": "CLAIRE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "703-538-2889",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.