NPI 1659838134 · live from the CMS NPI Registry
Amelville Holdings
Psychologist in Fairfax, VA. National Provider Identifier 1659838134, active.
NPI record
| NPI | 1659838134 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Psychologist 103T00000X |
| Practice location | 4094 Majestic Ln Unit 315, Fairfax, VA 22033 |
| Practice phone | 860-796-4553 |
| Enumerated | February 21, 2019 |
| Last updated | February 21, 2019 |
| Authorized official | Alexis Melville, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | — |
| Clinic/Center | 261Q00000X | — |
| Psychologist primary | 103T00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.