Healthcare Provider Details

I. General information

NPI: 1497626881
Provider Name (Legal Business Name): ASQ HEALTH INSTITUTE PROFESSIONAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/17/2025
Last Update Date: 05/10/2026
Certification Date: 05/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7918 JONES BRANCH DRIVE 4TH FLOOR, SUITE 276
MC LEAN VA
22102-3337
US

IV. Provider business mailing address

7918 JONES BRANCH DR
MC LEAN VA
22102-3337
US

V. Phone/Fax

Practice location:
  • Phone: 571-202-2811
  • Fax:
Mailing address:
  • Phone: 571-208-2811
  • Fax: 866-598-3382

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084B0040X
TaxonomyBehavioral Neurology & Neuropsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. JOHN CAINE
Title or Position: ADMIN
Credential:
Phone: 571-208-2811