NPIMap

Organization Active NPI

Capital Neurology and Headache Center, P.L.C.

Doing business as The Neurology and Headache Treatment Center Innovative Clinical Resear

  • Specialist
  • Alexandria, VA
National Provider Identifier
1992897037
Registry record updated May 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
30261-01 Issued in VA
Legal business name
CAPITAL NEUROLOGY AND HEADACHE CENTER, P.L.C.
Doing business as
The Neurology and Headache Treatment Center Innovative Clinical Resear
Practice address
4660 Kenmore Ave
Suite 900
Alexandria, VA 22304-1313
Phone
(703) 212-0700
Fax
(703) 212-0705
NPI assigned
Sep 28, 2006
Last updated
May 19, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2010

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

Authorized official

Name
Mrs. Patricia J Mullins, CMPE
Title
Executive Director
Phone
(703) 212-0700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 30261-01 VA Primary

Addresses

Primary practice location

4660 Kenmore Ave
Suite 900
Alexandria, VA 22304-1313

Mailing address

4660 Kenmore Ave
Suite 900
Alexandria, VA 22304-1313
Phone (703) 212-0700

Other names 1

  • The Neurology and Headache Treatment Center Innovative Clinical Resear Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274227200000",
    "number": "1992897037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4660 KENMORE AVE",
            "address_2": "SUITE 900",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223041313",
            "telephone_number": "703-212-0700",
            "fax_number": "703-212-0705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4660 KENMORE AVE",
            "address_2": "SUITE 900",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223041313",
            "telephone_number": "703-212-0700",
            "fax_number": "703-212-0705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITAL NEUROLOGY AND HEADACHE CENTER, P.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2010-05-19",
        "status": "A",
        "authorized_official_last_name": "MULLINS",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "703-212-0700",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CMPE"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "30261-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Neurology and Headache Treatment Center Innovative Clinical Resear",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2010; 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.