NPI Code Detail JSON Logo

1962843797 NPI number — INTERNATIONAL PSYCHOLOGICAL AND CONSULTING SERVICES, INC.

NPI Number: 1962843797
Health Care Provider/Practitioner: INTERNATIONAL PSYCHOLOGICAL AND CONSULTING SERVICES, INC.

Information about “1962843797” NPI (INTERNATIONAL PSYCHOLOGICAL AND CONSULTING SERVICES, INC.) exists in 1962843797 in HTML format HTML  |  1962843797 in plain Text format TXT  |  1962843797 in PDF (Portable Document Format) PDF  |  1962843797 in an XML format XML  formats.

NPI Number : 1962843797 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1962843797",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "INTERNATIONAL PSYCHOLOGICAL AND CONSULTING SERVICES, INC.",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3809-A ELBERT AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ALEXANDRIA",
    "MailingAddressStateName": "VA",
    "MailingAddressPostalCode": "22305",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "703-309-3185",
    "MailingAddressFaxNumber": "703-544-7817",
    "FirstLinePracticeLocationAddress": "113 SOUTH PATRICK STREET",
    "SecondLinePracticeLocationAddress": "SUITE 203",
    "PracticeLocationAddressCityName": "ALEXANDRIA",
    "PracticeLocationAddressStateName": "VA",
    "PracticeLocationAddressPostalCode": "22314",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "703-309-3185",
    "PracticeLocationAddressFaxNumber": "703-544-7817",
    "EnumerationDate": "07/09/2013",
    "LastUpdateDate": "09/09/2019",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "HUNT",
    "AuthorizedOfficialFirstName": "DENNIS",
    "AuthorizedOfficialMiddleName": "J",
    "AuthorizedOfficialTitle": "CEO/CLINICAL PSYCHOLOGIST",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "PHD",
    "AuthorizedOfficialTelephoneNumber": "703-309-3185",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "251S00000X",
          "TaxonomyName": "Community/Behavioral Health Agency",
          "LicenseNumber": "0810001850",
          "LicenseNumberStateCode": "VA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "103TC0700X",
          "TaxonomyName": "Clinical Psychologist",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
      }
    }
  }
}
                
            

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