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JACK A MERENDA, PSY.D., INC.
NPI 1083006365
Counselor - Professional in Burke, VA

Active since February 24, 2015
9306 OLD KEENE MILL RD, B, BURKE, VA 22015(703) 474-8905 Get Directions Write a Review

NPPES record last updated: February 24, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jack A Merenda, Psy.d., Inc. NPPES

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

JACK A MERENDA, PSY.D., INC. (NPI 1083006365) is a healthcare organization registered as a professional in Burke, Virginia and active in the NPI registry since February 2015. The organization lists Jack Allen Merenda, President, as its authorized official.

NPPES Registry Identity

NPI1083006365
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameJACK A MERENDA, PSY.D., INC.
Location Address9306 OLD KEENE MILL RD, BBurke, VA 22015-4280
Mailing Address9306 Old Keene Mill Rd, BBurke, VA 22015-4280 · (703) 474-8905
Phone(703) 474-8905
Organization SubpartNo
Authorized OfficialJack Allen MerendaPresident · (703) 474-8905
Enumeration DateFebruary 24, 2015
✔ NPI 1083006365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in VA · 0810005120
9306 OLD KEENE MILL RD, Burke, VA 22015
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack A Merenda, Psy.D., Inc.'s NPI number?

The NPI number for Jack A Merenda, Psy.D., Inc. is 1083006365. It was assigned to this organization in the NPPES registry on February 24, 2015.

Where is Jack A Merenda, Psy.D., Inc. located?

Jack A Merenda, Psy.D., Inc. is located at 9306 Old Keene Mill Rd B, Burke, VA 22015. The listed phone number is (703) 474-8905.

What is Jack A Merenda, Psy.D., Inc.'s specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Jack A Merenda, Psy.D., Inc. was last updated on February 24, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.