NMG AFFILIATE PRACTICE I LLC (NPI# 1386053502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386053502 |
| Entity Type | Organization |
| Organization Name | NMG AFFILIATE PRACTICE I LLC |
| Other Organization Name | NOVANT HEALTH UVA HEALTH SYSTEM NORTHERN VIRGINIA PSYCHIATRIC ASSOCIAT |
| Practice Address |
8644 Sudley Rd Suite 315 Manassas VA 20110-4417 |
| Mailing Address |
Po Box 60447 Charlotte NC 28260-0447 |
| Practice Telephone | 7033698055 |
| Practice Fax Number | 7033698565 |
| Mailing Telephone | 7033698055 |
| Enumeration Date | 2014-08-13 |
| Last Update Date | 2017-03-08 |
| Authorized Official Name | GEOFFREY K. GARDNER (VP OF FINANCE) |
| Authorized Official Telephone | 7033698055 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Novant Health UVA Health System Northern Virginia Psychiatric Associat | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750719977 | Nmg Affiliate Practice I LLC | Internal Medicine | 10945 George Mason Cir, Manassas, VA 20110-2233 | 2013-10-25 |
| 1639474240 | Nmg Affiliate Practice I LLC | Internal Medicine | 812 West Stuart Drive, Galax, VA 24333-2605 | 2011-01-13 |
| 1801191317 | Nmg Affiliate Practice I LLC | Internal Medicine | 110 East Blue Ridge Street, Stuart, VA 24171 | 2011-01-13 |
| 1407211451 | Nmg Affiliate Practice I LLC | Family Medicine | 15225 Heathcote Blvd, Haymarket, VA 20169-6264 | 2015-12-17 |
| 1861857815 | Nmg Affiliate Practice I LLC | Family Medicine | 8700 Sudley Rd, Manassas, VA 20110-4418 | 2015-12-17 |
| 1457741126 | Nmg Affiliate Practice I LLC | Internal Medicine | 8575 Sudley Rd, Suite A, Manassas, VA 20110-3861 | 2015-02-02 |
| 1114222700 | Nmg Affiliate Practice I LLC | Internal Medicine | 150 Charlois Blvd, Suite 290, Winston Salem, NC 27103-1549 | 2011-01-13 |
| 1558666164 | Nmg Affiliate Practice I LLC | Internal Medicine | 150 Charlois Blvd, Suite 100, Winston Salem, NC 27103-1549 | 2011-01-13 |
| 1184929796 | Nmg Affiliate Practice I LLC | Internal Medicine | 694 Riverside Dr, Mount Airy, NC 27030-3117 | 2011-01-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | NMG AFFILIATE PRACTICE I LLC | 200 Hawthorne Ln, Charlotte, North Carolina 28204 |
| North Carolina Corporations | NMG Affiliate Practice I LLC | 2085 Frontis Plaza Blvd, Winston Salem, NC 27103-5614 |
| Street Address |
8644 SUDLEY RD SUITE 315 |
| City | MANASSAS |
| State | VA |
| Zip Code | 20110-4417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093719536 | Sassan Hassassian | Anesthesiology | 8644 Sudley Rd, Ste 117, Manassas, VA 20110-4417 | 2005-06-13 |
| 1861906661 | Robbie Lynnel Neal | Nurse Practitioner | 8644 Sudley Rd, Manassas, VA 20110 | 2017-12-01 |
| 1568720225 | Physical Medicine Associates, Ltd | Physical Medicine & Rehabilitation | 8644 Sudley Rd, Suite 117, Manassas, VA 20110-4417 | 2012-05-01 |
| 1649583717 | Nadia M Ghieth | Physical Therapist | 8644 Sudley Rd, Suite 308, Manassas, VA 20110-4417 | 2010-07-19 |
| 1801035548 | Prosperity Prince William Rx Inc | Pharmacy | 8644 Sudley Rd, Suite 120, Manassas, VA 20110-4417 | 2009-02-19 |
| 1144466798 | Anna-marie E. Hammond | Physical Therapist | 8644 Sudley Rd, Suite 310, Manassas, VA 20110-4417 | 2009-01-05 |
| 1619127982 | Vinod B Patel | Pharmacist | 8644 Sudley Rd, Suite 120, Manassas, VA 20110-4417 | 2008-09-23 |
| 1457513848 | Uyenphuong Ho Le | Internal Medicine | 8644 Sudley Rd, Suite 118, Manassas, VA 20110-4417 | 2008-06-27 |
| 1316151632 | Nicole Dirienzo | Psychiatry & Neurology | 8644 Sudley Rd, Suite 315, Manassas, VA 20110-4417 | 2007-05-09 |
| 1104044551 | Cheryl Boston | Audiologist | 8644 Sudley Rd, Suite 114, Manassas, VA 20110-4417 | 2007-04-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184246787 | Sini Eapen | Nurse Practitioner | 9380 Forestwood Lane, 9380 Unit B, Manassas, VA 20110 | 2020-05-18 |
| 1023662202 | United Health Home Care Agency | Registered Nurse | 8789 Commerce Ct#202, Manassas, VA 20110 | 2019-07-26 |
| 1750868097 | Elaine K. Sours, D.d.s., P.C. | Dentist | 8719 Plantation Lane, Manassas, VA 20110 | 2018-07-19 |
| 1962904573 | Donielle Francis | Specialist/Technologist | 10420 Monterosa Pl, Manassas, VA 20110 | 2018-02-28 |
| 1003332354 | Katrina Kask | Occupational Therapist | 6985 Centreville Rd., Manassas, VA 20110 | 2017-08-18 |
| 1477091478 | Mega Health Services, Inc | General Practice | 9602 Champion Ct, Manassas, VA 20110 | 2017-02-09 |
| 1811340599 | Malik Usman Dds, PC | Dentist | 8559 Sudley Road, Manassas, VA 20110 | 2016-07-19 |
| 1871944660 | Chitra Subbaraj | Physical Therapist | 8595 Centreville Rd, Manassas, VA 20110 | 2016-06-23 |
| 1093186512 | Daczkowski Orthodontics | Dentist | 8715 Stonewall Road, Manassas, VA 20110 | 2015-10-09 |
| 1851770366 | Candace Fleming | Counselor | 9242b Mosby St, Manassas, VA 20110 | 2015-05-29 |
| Find all providers in zip 20110 | ||||
| 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 |
|---|---|---|---|---|
| 1295920338 | Teresa L. Delawter, M.d., P.C. | Psychiatry & Neurology | 9108 Church St., Unit 486, Manassas, VA 20108-8020 | 2007-09-12 |
| 1285793539 | Psychiatric & Counseling Center of Northern Virginia | Psychiatry & Neurology | 9244 Center Street, Manassas, VA 20110-5551 | 2006-12-06 |
| 1235212200 | Teresa L. Delawter | Psychiatry & Neurology | 9108 Church St, Unit 486, Manassas, VA 20108-8001 | 2006-10-23 |
| 1336152701 | Carl Vincent Hunt | Psychiatry & Neurology | 9691 Copeland Dr, Manassas, VA 20109-3224 | 2006-08-15 |
| 1861403156 | Afshan Ashai | Psychiatry & Neurology | 7969 Ashton Avenue, Manassas, VA 20109 | 2006-08-11 |
| 1326014853 | Jasdeep S Miglani | Psychiatry & Neurology | 7969 Ashton Ave, Manassas, VA 20109-2885 | 2006-02-24 |
| 1518322668 | Nmg Affiliate Practice 1, LLC | Psychiatry & Neurology | 8680 Hospital Way, Manassas, VA 20110-4287 | 2015-12-16 |
| 1659716918 | Maria Elena Moreno | Psychiatry & Neurology | 8680 Hospital Way, Manassas, VA 20110 | 2013-04-30 |
| 1851657407 | Ella Peresechenski | Psychiatry & Neurology | 8644 Sudley Rd Ste 315, Manassas, VA 20110-4425 | 2012-04-09 |
| 1649598244 | Partam Manalai | Psychiatry & Neurology | 8680 Hospital Way, Manassas, VA 20110 | 2010-05-07 |
| Find all providers in MANASSAS | ||||
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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.