Provider Demographics
NPI:1548940141
Name:CENTER FOR COGNITIVE THERAPY AND ASSESSMENT
Entity type:Organization
Organization Name:CENTER FOR COGNITIVE THERAPY AND ASSESSMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:KATHLEEN
Authorized Official - Last Name:O'MEARA
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:571-228-2965
Mailing Address - Street 1:300 N WASHINGTON ST STE 300
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22046-3441
Mailing Address - Country:US
Mailing Address - Phone:703-618-0900
Mailing Address - Fax:
Practice Address - Street 1:300 N WASHINGTON ST STE 300
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22046-3441
Practice Address - Country:US
Practice Address - Phone:703-618-0900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-19
Last Update Date:2023-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty