RESTON PSYCHOLOGICAL CENTER, P.C. (NPI# 1013052927) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013052927 |
| Entity Type | Organization |
| Organization Name | RESTON PSYCHOLOGICAL CENTER, P.C. |
| Practice Address |
1800 Town Center Dr Suite 411 Reston VA 20190-3215 |
| Practice Telephone | 7034373236 |
| Practice Fax Number | 7034357422 |
| Mailing Telephone | 7034373236 |
| Mailing Fax Number | 7034357422 |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. ARNOLD C. SMALL (PRESIDENT) |
| Authorized Official Telephone | 7034373236 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | ANTHEM BCBS | 071019 | 01 |
| VA | NCPPO | 351885 | 01 |
| Street Address |
1800 TOWN CENTER DR SUITE 411 |
| City | RESTON |
| State | VA |
| Zip Code | 20190-3215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528061074 | Kenneth Michael Karlin | Ophthalmology | 1800 Town Center Dr, Ste 317, Reston, VA 20190-3239 | 2005-05-27 |
| 1104352061 | Gwilym Parry Mdpc | Internal Medicine | 1800 Town Center Dr, Suite 212, Reston, VA 20190-3215 | 2017-05-11 |
| 1225564198 | Tessa Cholmondeley Md PC | Internal Medicine | 1800 Town Center Dr, Suite 212, Reston, VA 20190-3215 | 2017-05-11 |
| 1568858116 | Reston Eye Associates | Ophthalmology | 1800 Town Center Dr, Suite 316, Reston, VA 20190-3215 | 2015-04-10 |
| 1871922492 | David Cranford | Psychologist | 1800 Town Center Dr, Ste 420, Reston, VA 20190-3215 | 2013-11-04 |
| 1447684279 | Loudoun Medical Group PC | Obstetrics & Gynecology | 1800 Town Center Dr, Suite 220, Reston, VA 20190-3215 | 2013-08-28 |
| 1518301035 | Nova Medical Center, PC | Chiropractor | 1800 Town Center Dr, Suite 315b, Reston, VA 20190-3215 | 2013-04-26 |
| 1023353976 | Loudoun Medical Group PC | Internal Medicine | 1800 Town Center Dr, Suite 214, Reston, VA 20190-3215 | 2012-12-04 |
| 1811285612 | Stephanie Swanson | Obstetrics & Gynecology | 1800 Town Center Dr, Suite 220, Reston, VA 20190-3215 | 2011-07-13 |
| 1972809960 | Northern Virginia Pelvic Surgery Associates, PC | Obstetrics & Gynecology | 1800 Town Center Dr, Suite 311, Reston, VA 20190-3215 | 2011-02-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912548470 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1906 Reston Metro Plaza, Suite 100, Reston, VA 20190 | 2019-10-04 |
| 1205483260 | Northern Virginia Applied Behavior Analysis, L.L.C. | Behavioral Analyst | 1984 Issac Newton Square West, Suite 204, Reston, VA 20190 | 2019-08-23 |
| 1336796481 | Sandra Chiunda | Nurse Practitioner | 11484 Washington Plaza W 3rd Floor, Reston, VA 20190 | 2019-08-23 |
| 1891357232 | Beyond Counseling, Inc. | Clinic/Center | 11250 Roger Bacon Dr., Atrium 5, Reston, VA 20190 | 2019-07-06 |
| 1003470063 | Sarah Katharina Jungnitsch | Registered Nurse | Reston Anesthesia Associates, 11341 Sunset Hills Road, Reston, VA 20190 | 2019-04-25 |
| 1194202341 | May Health Care Services Inc | Home Health | 12110 Sunset Hills Road Suite 600, Reston, VA 20190 | 2018-07-20 |
| 1245739895 | Carlee B. Genung | Physician Assistant | 1760 Reston Parkway Suite 306, Reston, VA 20190 | 2018-02-09 |
| 1760901045 | Kristen Kelly | Dietitian, Registered | 11703 Bowman Green Drive, Lower Level, Reston, VA 20190 | 2017-09-18 |
| 1245778992 | Sarah Christine Bernstein | Occupational Therapist | 1860 Town Center Drive Ste, Suite 300, Reston, VA 20190 | 2017-02-02 |
| 1023495298 | Phillip Nguyen | Dentist | 1800 Town Center Dr Ste 116, Reston, VA 20190 | 2015-04-27 |
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| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235774696 | Mary Kathleen Kelley | Counselor | 11800 Sunset Hills Rd Unit 604, Reston, VA 20190-4783 | 2019-11-08 |
| 1043774334 | Lauren Campbell | Counselor | 11250 Roger Bacon Dr Ste 102, Reston, VA 20190-5219 | 2019-01-30 |
| 1144633306 | Jacques De Broekert | Counselor | 1608 Washington Plz, Reston, VA 20190-4303 | 2014-06-05 |
| 1790901452 | Jay Stuart Andrews | Counselor | 11870 Sunrise Valley Dr Ste 200, Reston, VA 20191-3303 | 2007-04-18 |
| 1356438071 | Mary Tiernan Brough | Counselor | 11333 Sunset Hills Rd, Reston, VA 20190-5205 | 2006-10-06 |
| 1477575058 | Stacey Meredith Piedmont-coffee | Counselor | 11975 Bowman Towne Dr, Reston, VA 20190-3306 | 2006-07-24 |
| 1740209378 | Elizabeth Naar Sedaghatfar | Counselor | 1577 Inlet Ct, Reston, VA 20190-4425 | 2006-07-18 |
| 1720693211 | Sean Connor Duane | Counselor | 11150 Sunset Hills Rd, Reston, VA 20190-5360 | 2020-09-10 |
| 1376169250 | Anastasia Marie Watson | Counselor | 1850 Cameron Glen Dr Ste 600, Reston, VA 20190-3343 | 2020-06-17 |
| 1598398570 | Erica Joy Phillips | Counselor | 11250 Roger Bacon Dr # 15-303, Reston, VA 20190-5219 | 2020-02-18 |
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| 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.