NEUROPSYCH WELLNESS CENTER


Address: 3930 Pender Dr Ste 350, Fairfax, VA 22030-0989
Phone: 7038658686

NEUROPSYCH WELLNESS CENTER (NPI# 1558764134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1558764134
Entity Type Organization
Organization Name NEUROPSYCH WELLNESS CENTER
Practice Address 3930 Pender Dr Ste 350
Fairfax
VA 22030-0989
Mailing Address Po Box 220403
Chantilly
VA 20153-0403
Practice Telephone 7038658686
Enumeration Date 2014-09-26
Last Update Date 2014-09-26
Authorized Official Name DR. ALOK KUMAR (PRESIDENT/CEO)
Authorized Official Telephone 7036261420
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
Ambulatory Health Care Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1407236482 Neuropsych Wellness Center Psychiatry & Neurology 3930 Pender Dr Ste 350, Fairfax, VA 22030-0989 2015-06-04

Other Data Sources

Entity Type Entity Name Entity Address
Virginia Business Entities NEUROPSYCH WELLNESS CENTER P.C. 3930 Pender Drive, Suite 350, Fairfax, Virginia 22030

Office Location

Street Address 3930 PENDER DR STE 350
City FAIRFAX
State VA
Zip Code 22030-0989

Providers in the same location

NPI Name Taxonomy Address Enumeration
1639373202 Alok Kumar Psychiatry & Neurology 3930 Pender Dr Ste 350, Fairfax, VA 22030-0986 2007-06-14
1306309679 Abebayhu Tekalign Counselor 3930 Pender Dr Ste 350, Fairfax, VA 22030-0989 2019-04-12
1376918318 Wellness Program, LLC Clinic/Center 3930 Pender Dr Ste 350, Fairfax, VA 22030-0989 2015-12-02
1407236482 Neuropsych Wellness Center Psychiatry & Neurology 3930 Pender Dr Ste 350, Fairfax, VA 22030-0989 2015-06-04
1902206550 Christina Webster Counselor 3930 Pender Dr Ste 350, Fairfax, VA 22030-0989 2014-09-02
1750641668 Vikas Mangewala Psychiatry & Neurology 3930 Pender Dr Ste 350, Fairfax, VA 22030-0989 2012-05-24
1710272083 Suzanne Cox Nurse Practitioner 3930 Pender Dr Ste 350, Fairfax, VA 22030-0989 2011-06-15
1588977748 Neuropsych Wellness Center, PC Psychiatry & Neurology 3930 Pender Dr Ste 350, Fairfax, VA 22030-0989 2010-07-16

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Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1295214112 Restore Counseling, LLC Clinic/Center 10301 Democracy Ln Ste 275, Fairfax, VA 22030-2525 2018-08-10
1376918318 Wellness Program, LLC Clinic/Center 3930 Pender Dr Ste 350, Fairfax, VA 22030-0989 2015-12-02
1649541855 Well Marriage Center, LLC Clinic/Center 3917 Old Lee Hwy, 11-d, Fairfax, VA 22030-2431 2012-01-19
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1538183173 Fairfax Medical Facilities Inc Clinic/Center 212 N Main St, Fairfax, OK 74637-3023 2006-07-27

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Competitor

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City FAIRFAX
Zip Code 22030

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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