DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: COMMONWEALTH OF VIRGINIA DEPT OF MENTAL HEALTH AND NORTHERN VIRGINIA T

MEDICARE: COMMONWEALTH OF VIRGINIA DEPT OF MENTAL HEALTH AND NORTHERN VIRGINIA T
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1320600000XIntellectual and/or Developmental Disabilities Residential Treatment Facility
2208M00000XHospitalist Physician
3315P00000XIntellectual Disabilities Intermediate Care Facility

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1053347476
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMMONWEALTH OF VIRGINIA DEPT OF MENTAL HEALTH AND NORTHERN VIRGINIA T
Provider Business Mailing Address
First Line : 9901 BRADDOCK RD
Second Line :
City : FAIRFAX
State : VA
Zip : 22032-1904
Country : US
Telephone Number : 703-323-4000
Fax Number : 703-323-4252
Provider Business Practice Location Address
First Line : 9901 BRADDOCK RD
Second Line :
City : FAIRFAX
State : VA
Zip : 22032-1904
Country : US
Telephone Number : 703-323-4000
Fax Number : 703-323-4252
Authorized Official
Title or Position : FACILITY DIRECTOR
Name : DR. MARK S DIORIO
Credential : PH.D., MPH
Telephone Number : 703-323-4002
Provider Enumeration Date : 06/25/2006
Last Update Date : 06/19/2008

Similar Medicare Providers

1275530941 — MR. JOSEPH MICHAEL CATURANO SR. PHARMACIST
Practice Location Address:
9901 BRADDOCK RD
FAIRFAX, VA
22032-1904
Practice Phone: 703-323-4095
Practice Fax: 703-323-4252
1699774281 — LEE ANN PEYTON RPH
Practice Location Address:
9901 BRADDOCK RD
FAIRFAX, VA
22032-1904
Practice Phone: 703-323-4095
Practice Fax: 703-323-4252
1568478394 — MARIA FE P PARAGUYA M.D.
Practice Location Address:
9901 BRADDOCK RD
FAIRFAX, VA
22032-1904
Practice Phone: 703-323-4093
Practice Fax: 703-323-4252
1558378067 — MICHAEL SHERER M.D.
Practice Location Address:
9901 BRADDOCK RD
FAIRFAX, VA
22032-1904
Practice Phone: 703-323-4093
Practice Fax:
1336207554 — DR. DONGSUP KIM DDS
Practice Location Address:
9901 BRADDOCK RD
FAIRFAX, VA
22032-1904
Practice Phone: 703-323-4024
Practice Fax: 703-323-4252
1790966935 — DR. PAUL FRANKLIN ANDERS III PH.D.
Practice Location Address:
9901 BRADDOCK RD
FAIRFAX, VA
22032-1904
Practice Phone: 703-764-6165
Practice Fax:

Directions to “COMMONWEALTH OF VIRGINIA DEPT OF MENTAL HEALTH AND NORTHERN VIRGINIA T ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.