Healthcare Provider Details

I. General information

NPI: 1871325464
Provider Name (Legal Business Name): CURECT NEUROPSYCHOLOGY OF VIRGINIA, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2024
Last Update Date: 01/27/2025
Certification Date: 01/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4250 NORTH FAIRFAX DRIVE SUITE 600
ARLINGTON VA
22203-1665
US

IV. Provider business mailing address

4250 NORTH FAIRFAX DRIVE SUITE 600
ARLINGTON VA
22203-1665
US

V. Phone/Fax

Practice location:
  • Phone: 469-689-4400
  • Fax: 469-689-4401
Mailing address:
  • Phone: 469-689-4400
  • Fax: 469-689-4401

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 7
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number
License Number State

VIII. Authorized Official

Name: ELINA KUGEL
Title or Position: OWNER
Credential: PSY.D
Phone: 469-689-4400