MODERN PSYCHOLOGICAL SERVICES LLC NPI 1902159122

NPI Information

NPI: 1902159122
Provider Name: MODERN PSYCHOLOGICAL SERVICES LLC
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
6177 GROVEDALE CT STE 100
ALEXANDRIA, VA
ZIP 22310
Phone: (703) 924-2370
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MODERN PSYCHOLOGICAL SERVICES LLC is an adult mental health clinic center in Alexandria, VA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. MODERN PSYCHOLOGICAL SERVICES LLC NPI is 1902159122. The provider is registered as an organization entity type.

The provider's business location address is:

6177 GROVEDALE CT STE 100
ALEXANDRIA, VA
ZIP 22310-553
Phone: (703) 924-2370
Fax: (703) 924-2374

The provider's authorized official is Puran S Khalsa .
The authorized official title is Licensed Psychologist and has the following contact phone number (415) 235-9982.

The enumeration date for this NPI number is 10/25/2012 and was last updated on 10/25/2012.

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
1	261QM0850X	Clinic/Center	Adult Mental Health	0810004653	VIRGINIA	Yes

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: 11/14/2023

NPI Synchronization or Removal

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