| Ipcs, Inc | |
|
113 South Patrick Street Suite 203 Alexandria VA 22314 | |
| (703) 309-3185 | |
| (703) 544-7817 |
| Full Name | Ipcs, Inc |
|---|---|
| Speciality | Psychologist |
| Location | 113 South Patrick Street, Alexandria, Virginia |
| Authorized Official Name and Position | Dennis J Hunt (CEO/CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 7033093185 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ipcs, Inc 3809-a Elbert Ave Alexandria VA 22305 Ph: (703) 309-3185 | Ipcs, Inc 113 South Patrick Street Suite 203 Alexandria VA 22314 Ph: (703) 309-3185 |
| NPI Number | 1962843797 |
|---|---|
| Provider Enumeration Date | 07/09/2013 |
| Last Update Date | 09/09/2019 |
| Medicare PECOS PAC ID | 2163665498 |
|---|---|
| Medicare Enrollment ID | O20130905000263 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962843797 | NPI | - | NPPES |
| 301743 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | 0810001850 (Virginia) | Secondary |
| Provider Name | Dennis J Hunt |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366406738 PECOS PAC ID: 0244473577 Enrollment ID: I20130905000284 |
| Provider Name | Emi Furukawa |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1003993130 PECOS PAC ID: 9830571009 Enrollment ID: I20220804000788 |
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