WOODBRIDGE METHADONE TREATMENT CENTER (NPI# 1053562066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053562066 |
| Entity Type | Organization |
| Organization Name | WOODBRIDGE METHADONE TREATMENT CENTER |
| Other Organization Name | WMTC |
| Practice Address |
8427 Dorsey Cir Manassas VA 20110-4596 |
| Practice Telephone | 7033307517 |
| Practice Fax Number | 7033305984 |
| Mailing Telephone | 7033307517 |
| Mailing Fax Number | 7033305984 |
| Enumeration Date | 2008-10-08 |
| Last Update Date | 2008-10-08 |
| Authorized Official Name | MS. CAROL MCCLELLAND (ASSISTANT PROGRAM DIRECTOR) |
| Authorized Official Telephone | 7033307517 |
| Authorized Official Credential | MA, LPC, LCAS, C |
| Is Organization Subpart | Y |
| Parent Organization Name | SELLATI & CO., INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 089 | VA | Agencies |
| Other Name | Type Code |
|---|---|
| WMTC | Other Name - Individual/Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Woodbridge Methadone Treatment Center Inc. | 1850 Lee Rd, Ste 115, Winter Park, Florida 32789 |
| Street Address |
8427 DORSEY CIR |
| City | MANASSAS |
| State | VA |
| Zip Code | 20110-4596 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770740888 | Sellatico, Inc. | Clinic/Center | 8427 Dorsey Cir, Suite 101, Manassas, VA 20110-4596 | 2008-05-19 |
| 1255649067 | Kadi Ann Morse | Counselor | 8427 Dorsey Cir, Suite 101, Manassas, VA 20110-4596 | 2010-09-15 |
| 1740438811 | Scott Walter Spiers | Counselor | 8427 Dorsey Cir, Manassas, VA 20110-4596 | 2008-09-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184246787 | Sini Eapen | Nurse Practitioner | 9380 Forestwood Lane, 9380 Unit B, Manassas, VA 20110 | 2020-05-18 |
| 1023662202 | United Health Home Care Agency | Registered Nurse | 8789 Commerce Ct#202, Manassas, VA 20110 | 2019-07-26 |
| 1750868097 | Elaine K. Sours, D.d.s., P.C. | Dentist | 8719 Plantation Lane, Manassas, VA 20110 | 2018-07-19 |
| 1962904573 | Donielle Francis | Specialist/Technologist | 10420 Monterosa Pl, Manassas, VA 20110 | 2018-02-28 |
| 1003332354 | Katrina Kask | Occupational Therapist | 6985 Centreville Rd., Manassas, VA 20110 | 2017-08-18 |
| 1477091478 | Mega Health Services, Inc | General Practice | 9602 Champion Ct, Manassas, VA 20110 | 2017-02-09 |
| 1811340599 | Malik Usman Dds, PC | Dentist | 8559 Sudley Road, Manassas, VA 20110 | 2016-07-19 |
| 1871944660 | Chitra Subbaraj | Physical Therapist | 8595 Centreville Rd, Manassas, VA 20110 | 2016-06-23 |
| 1093186512 | Daczkowski Orthodontics | Dentist | 8715 Stonewall Road, Manassas, VA 20110 | 2015-10-09 |
| 1851770366 | Candace Fleming | Counselor | 9242b Mosby St, Manassas, VA 20110 | 2015-05-29 |
| Find all providers in zip 20110 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902342934 | Prince William Community Services | Community/Behavioral Health | 7762 Donegan Dr, Manassas, VA 20109-2868 | 2017-01-14 |
| 1144608142 | Viking Behavioral Services LLC | Community/Behavioral Health | 10168 Portsmouth Rd, Apt #6, Manassas, VA 20109-8047 | 2015-05-11 |
| 1083253389 | Heidi Friedman, Ma, Lpc, Lmft | Community/Behavioral Health | 8140 Ashton Ave Ste 100, Manassas, VA 20109-5699 | 2020-01-03 |
| 1023590585 | New Leaf Counseling, LLC | Community/Behavioral Health | 8712 Sudley Rd, Manassas, VA 20110-4405 | 2018-08-31 |
| 1407394976 | Compass Counseling Services of Northern Virginia, LLC | Community/Behavioral Health | 9274 Corporate Cir, Manassas, VA 20110-4153 | 2017-02-05 |
| 1407308836 | Abiding Hope Counseling Services | Community/Behavioral Health | 9300 Forest Point Cir, Ste 115, Manassas, VA 20110-4765 | 2016-11-02 |
| 1437609609 | Therapeutic Alliance LLC | Community/Behavioral Health | 10535 Crestwood Dr, Manassas, VA 20109-4416 | 2016-10-11 |
| 1902250053 | Quarternote Counseling LLC | Community/Behavioral Health | 9255 Center St, Suite 303, Manassas, VA 20110-5567 | 2016-04-14 |
| 1578922910 | Ardent Multicultural Counseling, LLC | Community/Behavioral Health | 9242b Mosby St, Manassas, VA 20110-5038 | 2016-02-13 |
| 1801269857 | Kmdt Services LLC | Community/Behavioral Health | 8420 Dorsey Cir, Manassas, VA 20110-8300 | 2015-11-12 |
| Find all providers in MANASSAS | ||||
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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.