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INTEGRATED CLINICAL CONCEPTS NPI 1447421920


NPI Information

NPI: 1447421920
Provider Name: INTEGRATED CLINICAL CONCEPTS

Former Legal Business Name: ASSOCIATED CLINICAL SERVICES OF HERNDON

Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

Address:
481 CARLISLE DRIVE
SUITE 112
HERNDON, VA
ZIP 20170
Phone: (703) 481-6001
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INTEGRATED CLINICAL CONCEPTS is a clinical psychologist in Herndon, VA. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. INTEGRATED CLINICAL CONCEPTS NPI is 1447421920. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Former Legal Business Name Is Associated Clinical Services Of Herndon.

The provider's business location address is:

481 CARLISLE DRIVE
SUITE 112
HERNDON, VA
ZIP 20170
Phone: (703) 481-6001
Fax: (703) 481-5664

The provider's authorized official is Judith L Wald .
The authorized official title is Owner and has the following contact phone number (703) 481-6001.

The enumeration date for this NPI number is 3/12/2008 and was last updated on 10/30/2009.


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
1101Y00000XCounselorVIRGINIANo
2103TC0700XPsychologistClinicalVIRGINIANo
3101YP2500XCounselorProfessionalNo
41041C0700XSocial WorkerClinicalNo
5103TC0700XPsychologistClinicalYes

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: 5/5/2024

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