Reston Center for Learning, LLC

Primary specialty

Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X

License

0810003147 Issued in VA

Legal business name

RESTON CENTER FOR LEARNING, LLC

Practice address

12007 Sunrise Valley Dr Ste 220
Reston, VA 20191-3446

Phone

(703) 860-2010

Fax

(703) 860-2016

NPI assigned

May 25, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Bernadette Landolf, PH.D.NPI 1538314034

Title

Owner

Phone

(703) 860-2010

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Bernadette M Landolf, PH.D.

  • Clinical Psychologist
  • Reston, VA
  • NPI 1538314034
  NPD (past) Authorized official

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

{
    "created_epoch": "1306281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306281600000",
    "number": "1962795872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12007 SUNRISE VALLEY DR STE 220",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201913446",
            "telephone_number": "703-860-2010",
            "fax_number": "703-860-2016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12007 SUNRISE VALLEY DR STE 220",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201913446",
            "telephone_number": "703-860-2010",
            "fax_number": "703-860-2016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTON CENTER FOR LEARNING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-25",
        "last_updated": "2011-05-25",
        "status": "A",
        "authorized_official_last_name": "LANDOLF",
        "authorized_official_first_name": "BERNADETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-860-2010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "VA",
            "license": "0810003147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Cognitive & Behavioral Psychologist in Reston, VA
• Providers in Reston, VA by specialty
• Cognitive & Behavioral Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2011; 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.