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THE CHILD & FAMILY COUNSELING GROUP PLC NPI 1306024914


NPI Information

NPI: 1306024914
Provider Name: THE CHILD & FAMILY COUNSELING GROUP, PLC
Classification: Psychologist - 103TC2200X
Entity Type: Organization

Specialization: Clinical Child & Adolescent

Address:
3959 PENDER DR
SUITE 320
FAIRFAX, VA
ZIP 22030
Phone: (703) 352-3822
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THE CHILD & FAMILY COUNSELING GROUP, PLC is a clinical child and adolescent psychologist in Fairfax, VA. The provider is a psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents. THE CHILD & FAMILY COUNSELING GROUP, PLC NPI is 1306024914. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3959 PENDER DR
SUITE 320
FAIRFAX, VA
ZIP 22030-041
Phone: (703) 352-3822
Fax: (703) 385-8353

The provider's authorized official is John W Wires .
The authorized official title is Neuropsychologist and has the following contact phone number (703) 352-3822.

The enumeration date for this NPI number is 2/6/2008 and was last updated on 2/6/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YM0800XCounselorMental Health0904006205VIRGINIANo
2101YM0800XCounselorMental Health0904000808VIRGINIANo
3103TC0700XPsychologistClinical0810003490VIRGINIANo
4103TC0700XPsychologistClinical0810002990VIRGINIANo
5103TC0700XPsychologistClinical0810003772VIRGINIANo
6103TC0700XPsychologistClinical0810002885VIRGINIANo
7103TC2200XPsychologistClinical Child & Adolescent0810003557VIRGINIANo
81041C0700XSocial WorkerClinical0904002754VIRGINIANo
91041C0700XSocial WorkerClinical0904004294VIRGINIANo
101041C0700XSocial WorkerClinical0904002144VIRGINIANo
111041C0700XSocial WorkerClinical0904006034VIRGINIANo
12235Z00000XSpeech-Language Pathologist2202003015VIRGINIANo
13103TC2200XPsychologistClinical Child & Adolescent0810001681VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1G00452OTHERVIRGINIAMEDICARE GROUP NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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