Provider Demographics
NPI:1821848011
Name:UTOPIA PSYCHOLOGICAL SERVICES
Entity Type:Organization
Organization Name:UTOPIA PSYCHOLOGICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RHESIA-MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROUMAIN-OCHOA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-506-6132
Mailing Address - Street 1:1350 BEVERLY RD
Mailing Address - Street 2:STE 115 BOX # 348
Mailing Address - City:MCLEAN
Mailing Address - State:VA
Mailing Address - Zip Code:22101-3402
Mailing Address - Country:US
Mailing Address - Phone:303-506-6132
Mailing Address - Fax:
Practice Address - Street 1:1318 MAYFLOWER DR
Practice Address - Street 2:
Practice Address - City:MC LEAN
Practice Address - State:VA
Practice Address - Zip Code:22101-3402
Practice Address - Country:US
Practice Address - Phone:303-506-6132
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-22
Last Update Date:2024-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty