| Caldwell Psychotherapy Center Pllc | |
|
1984 Isaac Newton Sq W Ste 204 Reston VA 20190-5040 | |
| (703) 863-6140 | |
| Not Available |
| Full Name | Caldwell Psychotherapy Center Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 1984 Isaac Newton Sq W Ste 204, Reston, Virginia |
| Authorized Official Name and Position | Robert David Caldwell (MANAGING MEMBER) |
| Authorized Official Contact | 7038636140 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Caldwell Psychotherapy Center Pllc 1447 Aldenham Ln Reston VA 20190-3903 Ph: (703) 863-6140 | Caldwell Psychotherapy Center Pllc 1984 Isaac Newton Sq W Ste 204 Reston VA 20190-5040 Ph: (703) 863-6140 |
| NPI Number | 1578137543 |
|---|---|
| Provider Enumeration Date | 05/14/2021 |
| Last Update Date | 11/12/2021 |
| Certification Date | 11/12/2021 |
| Medicare PECOS PAC ID | 5991103608 |
|---|---|
| Medicare Enrollment ID | O20211011002868 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578137543 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Robert David Caldwell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780890582 PECOS PAC ID: 3971693284 Enrollment ID: I20071226000085 |
Reston Psychological Center, P.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1800 Town Center Dr, Suite 411, Reston, VA 20190 Phone: 703-437-3236 Fax: 703-435-7422 | |
Compass Behavioral Health Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11921 Freedom Dr Ste 550, Reston, VA 20190 Phone: 678-617-2372 | |
Neuroscience Cinsultants, Plc Sleep Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12007 Sunrise Valley Dr, Suite 130, Reston, VA 20191 Phone: 571-926-9158 | |
Collaborative Support Psychological Services Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1224 Bishopsgate Way, Reston, VA 20194 Phone: 703-915-3025 | |
Irecovery, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11710 Plaza America Dr Ste 200, Reston, VA 20190 Phone: 703-912-0792 Fax: 561-464-5501 | |
Prosperity Eating Disorder And Wellness Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1897 Preston White Dr Ste 300, Reston, VA 20191 Phone: 703-466-5150 Fax: 703-649-3599 | |
Philip I. Haber, Ltd. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12050 S Lakes Dr, Reston, VA 20191 Phone: 703-476-2348 Fax: 703-476-6013 |