JACK A MERENDA PSY.D. INC. NPI 1083006365

NPI Information

  • NPI: 1083006365
  • Provider Name: JACK A MERENDA, PSY.D., INC.
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Organization
  • Address: 9306 OLD KEENE MILL RD
    B
    BURKE, VA
    ZIP 22015
  • Phone: (703) 474-8905

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NPI Details

JACK A MERENDA, PSY.D., INC. is a professional counselor in Burke, VA. JACK A MERENDA, PSY.D., INC. NPI is 1083006365. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9306 OLD KEENE MILL RD
B
BURKE, VA
ZIP 22015-280
Phone: (703) 474-8905

The provider's authorized official is Jack Allen Merenda .
The authorized official title is President and has the following contact phone number (703) 474-8905.

The enumeration date for this NPI number is 2/24/2015 and was last updated on 2/24/2015.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessional0810005120VIRGINIAYes

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: 3/30/2025

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