DR. SHRUTI TEWARI (NPI# 1881814408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881814408 |
| Entity Type | Individual |
| Full Name | DR. SHRUTI TEWARI |
| Credential | M.D. |
| Practice Address |
11204 Waples Mill Rd Fairfax VA 22030-6036 |
| Practice Telephone | 7032188500 |
| Practice Fax Number | 7033590463 |
| Mailing Telephone | 7032188500 |
| Mailing Fax Number | 7033590463 |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2020-08-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
0101249885 | VA | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
MT188621 | PA | Allopathic & Osteopathic Physicians |
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
0101249885 | VA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 833 Chestnut St, Suite 210, Philadelphia, PA 191074414 | 2159556104 | 2159231922 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407224132 | Shruti Tewari | Dentist | 1804 Rittenhouse Sq, Philadelphia, PA 19103-5802 | 2015-09-11 |
| Street Address |
11204 WAPLES MILL RD |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22030-6036 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770684367 | John Thomas Giroux | Psychologist | 11204 Waples Mill Rd, Fairfax, VA 22030-6048 | 2006-09-26 |
| 1265909097 | Jung Soo Lim | Counselor | 11204 Waples Mill Rd, Fairfax, VA 22030-6036 | 2018-10-30 |
| 1952819492 | Alissa Wulff | Counselor | 11204 Waples Mill Rd, Fairfax, VA 22030-6036 | 2018-01-18 |
| 1457880684 | Clinton Lee Brogdon | Counselor | 11204 Waples Mill Rd, Fairfax, VA 22030-6036 | 2017-06-10 |
| 1245685783 | Michelle Hendrickson | Psychologist | 11204 Waples Mill Rd, Fairfax, VA 22030-6036 | 2016-05-03 |
| 1295126118 | Molly A Jakubek | Marriage & Family Therapist | 11204 Waples Mill Rd, Fairfax, VA 22030-6036 | 2015-02-13 |
| 1598161119 | Alexandra T Heard | Social Worker | 11204 Waples Mill Rd, Fairfax, VA 22030-6036 | 2014-11-10 |
| 1497185805 | Tisa Mckenna | Social Worker | 11204 Waples Mill Rd, Fairfax, VA 22030 | 2013-11-21 |
| 1841635653 | Kristen Messenger | Counselor | 11204 Waples Mill Rd, Fairfax, VA 22030-6036 | 2013-05-07 |
| 1285970087 | Catherine A Rathman | Psychologist | 11204 Waples Mill Rd, Fairfax, VA 22030-6036 | 2012-12-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205449477 | Perry Camp Jr. | Psychologist | 4403 Dixie Hill Rd, Unit 205, Fairfax, VA 22030 | 2020-08-28 |
| 1952940322 | Brightview Fair Oaks, LLC | Alzheimer Center (Dementia Center) | 12725 Lee Highway, Fairfax, VA 22030 | 2020-01-02 |
| 1245871524 | Tori Sprowl | Behavioral Analyst | 10430 Democracy Lane #102b & 103, Fairfax, VA 22030 | 2019-10-08 |
| 1528612124 | Paul Sarigianis | Student in an Organized Health Care Education/Training Program | 10379b Democracy Lane, Fairfax, VA 22030 | 2019-07-31 |
| 1497221303 | Kahak, Inc. | Day Training, Developmentally Disabled Services | 10560 Main Street Suite Ps100, Fairfax, VA 22030 | 2018-10-17 |
| 1689177073 | Shamoona Sharif | Dentist | 11050 Lee Hwy, Fairfax, VA 22030 | 2018-03-13 |
| 1205339538 | Rachael Lee Greene | Social Worker | 4403 Dixie Hill Rd. #206, Fairfax, VA 22030 | 2018-03-13 |
| 1558863027 | Jacqueline Renee Bauer | Skilled Nursing Facility | 10701 Main Street, Fairfax, VA 22030 | 2018-03-01 |
| 1275033607 | Philajo Global LLC | Non-emergency Medical Transport (VAN) | 4521 Billingham Street, Fairfax, VA 22030 | 2018-02-12 |
| 1376050401 | Alexander Harrison | Counselor | 4400 University Drive, Ms 2a2, Fairfax, VA 22030 | 2018-01-10 |
| Find all providers in zip 22030 | ||||
| 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 |
|---|---|---|---|---|
| 1659766624 | Caroline Roberts | Psychiatry & Neurology | 8221 Willow Oaks Corporate Dr Ste 4-430, Fairfax, VA 22031-4512 | 2015-04-06 |
| 1164764593 | Michael Moore | Psychiatry & Neurology | 8221 Willow Oaks Corporate Dr Ste 4-425, Fairfax, VA 22031-4512 | 2013-03-24 |
| 1194067868 | Andrew Arthur Matz | Psychiatry & Neurology | 8550 Arlington Blvd Ste 300, Fairfax, VA 22031-4620 | 2013-03-20 |
| 1023336575 | Samina S. Raja | Psychiatry & Neurology | 3993 Alcoa Dr, Fairfax, VA 22033-1402 | 2010-05-07 |
| 1629395066 | Rachel B Goldberg | Psychiatry & Neurology | 3025 Hamaker Ct Ste 290, Fairfax, VA 22031-2237 | 2010-04-26 |
| 1285823898 | Sermsak Lolak | Psychiatry & Neurology | 8411 Pennell St, Fairfax, VA 22031 | 2007-10-19 |
| 1639373202 | Alok Kumar | Psychiatry & Neurology | 3930 Pender Dr Ste 350, Fairfax, VA 22030-0986 | 2007-06-14 |
| 1942339593 | Sonia C Thomas | Psychiatry & Neurology | 11204 Waples Mill Road, Fairfax, VA 22030-6036 | 2007-03-02 |
| 1477698777 | Jose Antonio Apud | Psychiatry & Neurology | 8303 Arlington Blvd Ste 205, Fairfax, VA 22031-2903 | 2007-02-21 |
| 1780608984 | Philip Smith | Psychiatry & Neurology | 8221 Willow Oaks Corporate Dr, Fairfax, VA 22031-4512 | 2006-07-27 |
| Find all providers in FAIRFAX | ||||
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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.