POTOMAC PSYCHOLOGICAL CENTER LLC NPI 1497984892

NPI Information

  • NPI: 1497984892
  • Provider Name: POTOMAC PSYCHOLOGICAL CENTER, LLC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Organization
  • Address: 20925 PROFESSIONAL PLZ
    SUITE 230
    ASHBURN, VA
    ZIP 20147
  • Phone: (703) 858-7838

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NPI Details

POTOMAC PSYCHOLOGICAL CENTER, LLC is a professional counselor in Ashburn, VA. POTOMAC PSYCHOLOGICAL CENTER, LLC NPI is 1497984892. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

20925 PROFESSIONAL PLZ
SUITE 230
ASHBURN, VA
ZIP 20147-403
Phone: (703) 858-7838
Fax: (703) 858-9697

The provider's authorized official is Nick Gentile .
The authorized official title is President and has the following contact phone number (703) 858-7838.

The enumeration date for this NPI number is 7/7/2009 and was last updated on 7/7/2009.

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
1103TC0700XPsychologistClinical0810003656VIRGINIANo
21041C0700XSocial WorkerClinical0904004863VIRGINIANo
32084P0800XPsychiatry & NeurologyPsychiatry0101231051VIRGINIANo
42084P0804XPsychiatry & NeurologyChild & Adolescent Psychiatry0101241532VIRGINIANo
5101YP2500XCounselorProfessional0701003403VIRGINIAYes

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: 11/21/2025

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