Inova Kellar Center in Fairfax - Adolescent And Children Mental Health
Inova Kellar Center - NPI 1497808679
Inova Kellar Center is a Adolescent And Children Mental Health in Fairfax, Virginia. Inova Kellar Center practices all healthcare services and medical treatments related to Adolescent And Children Mental Health. The NPI Number for Inova Kellar Center is 1497808679. The last update date is 2018-10-16.
Inova Kellar Center's current location address is Po Box 1110, Fairfax, Virginia. You can contact this provider via phone number 7032188500 and fax number 7033590463. The mailing address for Inova Kellar Center is Po Box 1110, Fairfax, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Inova Kellar Center |
|---|---|
| Address | Po Box 1110, Fairfax, Virginia |
| Phone Number | 7032188500 |
| Fax Number | 7033590463 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | SENIOR DIR |
|---|---|
| Authorized Official Name | Leichtweis Rick |
| Credentials | PH.D |
| Telephone Number | 7032188500 |
NPI Number Detail
| NPI Number | 1497808679 |
|---|---|
| Provider Enumeration Date | 2007-01-19 |
| Last Updated Date | 2018-10-16 |
Provider Mailing Address Detail
| Address | Po Box 1110 |
|---|---|
| City | Fairfax |
| State | Virginia (VA) |
| Post Code | 220381110 |
| Phone Number | 7032188500 |
| Fax Number | 7033590463 |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent And Children Mental Health |
|---|---|
| Taxonomy | 261Qm0855X |
| Licence No | 33 |
|
Definition: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patie |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4943902 | VA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Inova Kellar Center by the Centers for Medicare & Medicaid Services (CMS)?
The Inova Kellar Center has been assigned the NPI (National Provider Identifier) 1497808679. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Inova Kellar Center's facilities are situated?
The facilities of Inova Kellar Center are physically located at the following address: Po Box 1110, Fairfax, VA, 220381110.
What is the Inova Kellar Center's area of specialization and corresponding taxonomy classification?
The Inova Kellar Center's specialty field is Adolescent And Children Mental Health, and it falls under the taxonomy code 261Qm0855X, which categorizes healthcare providers based on their specialties.
On what date did the Inova Kellar Center receive the assignment of its 1497808679 from the Centers for Medicare & Medicaid Services?
The Inova Kellar Center was issued its 1497808679 by the Centers for Medicare & Medicaid Services on 2007-01-19.
As of what date was the information pertaining to Inova Kellar Center, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Inova Kellar Center, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2018-10-16.
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