COMMONWEALTH OF VIRGINIA DEPT OF MENTAL HEALTH AND NORTHERN VIRGINIA T
NPI 1053347476
Intermediate Care Facility, Intellectual Disabilities in Fairfax, VA

Q: What is Commonwealth Of Virginia Dept Of Mental Health And Northern Virginia T's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

Active since June 25, 2006

9901 BRADDOCK RD, FAIRFAX, VA 22032(703) 323-4000(703) 323-4252 Get Directions Write a Review

NPPES record last updated: June 19, 2008. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Commonwealth Of Virginia Dept Of Mental Health And Northern Virginia T NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COMMONWEALTH OF VIRGINIA DEPT OF MENTAL HEALTH AND NORTHERN VIRGINIA T (NPI 1053347476) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Fairfax, Virginia and active in the NPI registry since June 2006. The organization lists Mark S Diorio, Facility Director, as its authorized official.

NPPES Registry Identity

NPI1053347476

Entity TypeOrganization

Primary Taxonomy315P00000X

Legal Business NameCOMMONWEALTH OF VIRGINIA DEPT OF MENTAL HEALTH AND NORTHERN VIRGINIA T

Location Address9901 BRADDOCK RDFairfax, VA 22032-1904

Mailing Address9901 Braddock RdFairfax, VA 22032-1904 · (703) 323-4000 · Fax (703) 323-4252

Phone(703) 323-4000

Fax(703) 323-4252

Organization SubpartNo

Authorized OfficialMark S DiorioFacility Director · (703) 323-4002

Enumeration DateJune 25, 2006

Last NPPES UpdateJune 19, 2008

✔ NPI 1053347476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities

Taxonomy Code315P00000X

Definition

An intermediate care facility providing services for individuals with intellectual disabilities.

Also ListedHospitalistTaxonomy 208M00000X

Also ListedResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesTaxonomy 320600000X

9901 BRADDOCK RD, Fairfax, VA 22032

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Other Identifiers 2

Medicaid49-6630-9VA

Medicare PIN701151VA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. JOSEPH MICHAEL CATURANO SR. PHARMACIST

Pharmacist