AFFECT THERAPEUTICS INC. NPI 1104402064

NPI Information

  • NPI: 1104402064
  • Provider Name: AFFECT THERAPEUTICS, INC.
  • Classification: Clinic/Center - 261QR0405X
  • Specialization: Rehabilitation, Substance Use Disorder
  • Entity Type: Organization
  • :
  • CLIA Number: 36D2241116
  • Address: 1640 BORO PL FL 4
    MC LEAN, VA
    ZIP 22102
  • Phone: (845) 769-8758

Map and Directions

Get Directions

NPI Details

AFFECT THERAPEUTICS, INC. is a rehabilitation and substance use disorder clinic center in Mc Lean, VA. AFFECT THERAPEUTICS, INC. NPI is 1104402064. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider .

The provider's business location address is:

1640 BORO PL FL 4
MC LEAN, VA
ZIP 22102-627
Phone: (845) 769-8758

The provider's authorized official is Karla Renee Mullings .
The authorized official title is Director Of Compliance and has the following contact phone number (323) 522-2218.

The CLIA number assigned to this NPI record is 36D2241116 - comp. outpatient rehab facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/22/2021 and was last updated on 2/19/2025.

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
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2101YP2500XCounselorProfessionalNo
31041C0700XSocial WorkerClinicalNo
4163W00000XRegistered NurseNo
52084A0401XPsychiatry & NeurologyAddiction MedicineNo
6261QC1500XClinic/CenterCommunity HealthNo
7261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
8261QM0850XClinic/CenterAdult Mental HealthNo
9261QR0405XClinic/CenterRehabilitation, Substance Use DisorderYes
10363LC1500XNurse PractitionerCommunity HealthNo
11363LP0808XNurse PractitionerPsychiatric/Mental HealthNo

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI