WILLOW PSYCHIATRY LIMITED (NPI# 1255722005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255722005 |
| Entity Type | Organization |
| Organization Name | WILLOW PSYCHIATRY LIMITED |
| Practice Address |
20925 Professional Plz 310 Ashburn VA 20147-3403 |
| Mailing Address |
41912 Clover Valley Ct Ashburn VA 20148-1765 |
| Practice Telephone | 5716205151 |
| Practice Fax Number | 5714211963 |
| Mailing Telephone | 5716205151 |
| Mailing Fax Number | 5714211963 |
| Enumeration Date | 2015-02-16 |
| Last Update Date | 2015-02-16 |
| Authorized Official Name | DR. RADHA GAYATRI AGEPATI (PRESIDENT) |
| Authorized Official Telephone | 5716205151 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
0101254626 | VA | Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | WILLOW PSYCHIATRY LIMITED | 19415 Deerfield Ave, Suite 103, Leesburg, Virginia 20176 |
| Street Address |
20925 PROFESSIONAL PLZ 310 |
| City | ASHBURN |
| State | VA |
| Zip Code | 20147-3403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497724389 | Cathleen O. Doane-wilson | Obstetrics & Gynecology | 20925 Professional Plz, Suite 200, Ashburn, VA 20147-3403 | 2006-03-14 |
| 1205218138 | Kanchanmala Akmanchi | Occupational Therapist | 20925 Professional Plz, #320, Ashburn, VA 20147-3403 | 2015-06-27 |
| 1861894222 | Capital Family Medicine Plc. | Family Medicine | 20925 Professional Plz, Suite 310, Ashburn, VA 20147-3403 | 2014-09-17 |
| 1528486230 | Lubna Rana | Family Medicine | 20925 Professional Plz, Suite 310, Ashburn, VA 20147-3403 | 2014-03-31 |
| 1497984892 | Potomac Psychological Center, LLC | Psychologist | 20925 Professional Plz, Suite 230, Ashburn, VA 20147-3403 | 2009-07-07 |
| 1851539951 | Dawn Russ Gingras | Counselor | 20925 Professional Plz, Suite 230, Ashburn, VA 20147-3403 | 2009-01-27 |
| 1093952277 | Whole Child Pediatrics | Pediatrics | 20925 Professional Plz, Sutie #340, Ashburn, VA 20147-3403 | 2009-01-09 |
| 1659532794 | Radha Gayatri Agepati | Psychiatry & Neurology | 20925 Professional Plz, Suite 310, Ashburn, VA 20147-3403 | 2008-06-20 |
| 1639330038 | Susan Elizabeth Tillman | Nurse Practitioner | 20925 Professional Plz, Suite 340, Ashburn, VA 20147-3403 | 2008-06-19 |
| 1730308511 | Cyril Joseph Md PC | Specialist | 20925 Professional Plz, Ste. 100, Ashburn, VA 20147-3403 | 2007-04-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750982039 | Smita J Patel | Pharmacist | 43614 Millay Ct., Ashburn, VA 20147 | 2020-11-04 |
| 1740812205 | Ericka N Schmitt | Psychologist | Interchange Psychology, 44075 Pipeline Plaza, Ashburn, VA 20147 | 2020-02-12 |
| 1164065967 | Dorsa Salehi | Behavior Technician | 44933 George Washing Blvd, Suite 115, Ashburn, VA 20147 | 2019-10-24 |
| 1659837094 | Sandrine Shanghai | Case Management | 44933 George Washington Parkway, Suite 110, Ashburn, VA 20147 | 2019-02-11 |
| 1033684154 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 44835 Russel Branch Parkway, Ashburn, VA 20147 | 2018-10-04 |
| 1417437203 | Roshni A Patel | Optometrist | 44050 Ashburn Village Blvd, Suite 163, Ashburn, VA 20147 | 2018-08-21 |
| 1972095974 | Verum Cutis Dermatology | Dermatology | 44110 Ashburn Shopping Plz Unit 237, Ashburn, VA 20147 | 2018-06-05 |
| 1033608542 | Justin Leeman | Physical Therapist | 21625 Red Rum Dr, Ashburn, VA 20147 | 2018-05-09 |
| 1255860680 | Aperiomics, Inc. | Clinical Medical Laboratory | 45085 University Dr, Ste 305, Ashburn, VA 20147 | 2017-06-08 |
| 1427591643 | Monecia Michelle Nelms | Counselor | 20925 Professional Plaza, Suite #320, Ashburn, VA 20147 | 2016-11-19 |
| Find all providers in zip 20147 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568886109 | Gonzales-vigilar Psychiatric Services | Psychiatry & Neurology | 44031 Pipeline Plz Ste 205, Ashburn, VA 20147-5888 | 2014-02-18 |
| 1255591376 | Mirza Sajid Raza Baig | Psychiatry & Neurology | 44790 Maynard Square 130, Ashburn, VA 20147 | 2008-06-12 |
| 1518029594 | Gregory Alan Law | Psychiatry & Neurology | 20915 Ashburn Rd, Suite 235, Ashburn, VA 20147-5677 | 2006-12-15 |
| 1356442206 | Fairfax Psychiatry PC | Psychiatry & Neurology | 44121 Harry Byrd Hwy Ste 115, Ashburn, VA 20147-5671 | 2006-09-25 |
| 1649217571 | Maria Carmen V Gonzales-vigilar | Psychiatry & Neurology | 44031 Pipeline Plaza, Ste 205, Ashburn, VA 20147 | 2006-05-31 |
| 1659532794 | Radha Gayatri Agepati | Psychiatry & Neurology | 20925 Professional Plz, Suite 310, Ashburn, VA 20147-3403 | 2008-06-20 |
| 1104086693 | Kiran Iqbal | Psychiatry & Neurology | 44095 Pipeline Plz Ste 240, Ashburn, VA 20147-7515 | 2008-06-10 |
| 1043316094 | David Marc Band | Psychiatry & Neurology | 20905 Professional Plz, Suite 220, Ashburn, VA 20147-7783 | 2006-09-16 |
| 1790880722 | Ayman Abdelbakey | Psychiatry & Neurology | 20905 Professional Plz, Suite # 220, Ashburn, VA 20147-7783 | 2006-09-14 |
| 1790798965 | Howard A Glick | Psychiatry & Neurology | 21001 Sycolin Rd, Ashburn, VA 20147-4073 | 2006-08-15 |
| Find all providers in ASHBURN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.