NOVA PSYCHIATRIST, LLC (NPI# 1912302555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912302555 |
| Entity Type | Organization |
| Organization Name | NOVA PSYCHIATRIST, LLC |
| Practice Address |
12359 Sunrise Valley Dr Suite 320 Reston VA 20191-3462 |
| Practice Telephone | 7035964796 |
| Practice Fax Number | 7034356747 |
| Enumeration Date | 2014-10-24 |
| Last Update Date | 2014-10-24 |
| Authorized Official Name | DR. MADAN KUMAR UPRETY (MEMBER) |
| Authorized Official Telephone | 7035964796 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 103G00000X | Clinical Neuropsychologist | Behavioral Health & Social Service Providers | ||
| N | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 364SP0807X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Child & Adolescent |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| Street Address |
12359 SUNRISE VALLEY DR SUITE 320 |
| City | RESTON |
| State | VA |
| Zip Code | 20191-3462 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619988078 | Carrie Sue Welch | Chiropractor | 12359 Sunrise Valley Dr, Suite #140, Reston, VA 20191-3462 | 2006-08-11 |
| 1952725103 | Woong Huh | Dentist | 12359 Sunrise Valley Dr, Ste 250, Reston, VA 20191-3462 | 2014-02-08 |
| 1346573318 | Catharine Niblack Raby | Chiropractor | 12359 Sunrise Valley Dr, Suite 140, Reston, VA 20191-3462 | 2009-09-09 |
| 1952553935 | Wendy Nichole Cohen | Physician Assistant | 12359 Sunrise Valley Dr, Suite 320, Reston, VA 20191-3462 | 2008-10-21 |
| 1306018650 | Sleepmed Therapies, Inc | Durable Medical Equipment & Medical Supplies | 12359 Sunrise Valley Dr, Suite 160, Reston, VA 20191-3462 | 2008-03-27 |
| 1851519300 | Olympic Anesthesia PC | Anesthesiology | 12359 Sunrise Valley Dr, Suite 330, Reston, VA 20191-3462 | 2007-04-22 |
| 1568505402 | Jennifer L. Marshall, Ph.d., P.l.l.c. | Psychologist | 12359 Sunrise Valley Dr, Suite 220, Reston, VA 20191-3462 | 2007-02-14 |
| 1356409478 | Carrie S. Welch, D. C., Pllc | Chiropractor | 12359 Sunrise Valley Dr, Suite 140, Reston, VA 20191-3462 | 2006-12-04 |
| 1992875322 | Jorge Rodriguez | Clinical Neuropsychologist | 12359 Sunrise Valley Dr, Suite #220, Reston, VA 20191-3462 | 2006-11-09 |
| 1023198975 | Mary Bolton-owens | Counselor | 12359 Sunrise Valley Dr, Suite 220, Reston, VA 20191-3462 | 2006-10-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275150518 | Grace Andales Soistman | Nurse Practitioner | 11160 South Lakes Dr. Reston, Va 20191, Reston, VA 20191 | 2020-07-02 |
| 1790317709 | Twenty Four/7 LLC | Private Vehicle | 11922 Winterthur Ln, 103, Reston, VA 20191 | 2020-02-07 |
| 1437626058 | Aramesh Darvishian Dds Pllc | Dentist | 12040 South Lakes Dr. Suite 200, Reston, VA 20191 | 2018-11-01 |
| 1992282693 | Ashkan Ghods | Home Health | 11760 Sunrise Valley Dr, #405, Reston, VA 20191 | 2018-07-25 |
| 1104319698 | Capital Critical Care & Informatics PC | Internal Medicine | 11890 Sunrise Valley Dr # 442, Reston, VA 20191 | 2018-06-11 |
| 1063930683 | Mackenzie Marie Evans | Specialist/Technologist | 2380 Branleigh Park Ct, Reston, VA 20191 | 2017-09-04 |
| 1073910345 | Jane L Mahan-wiegand | Dietitian, Registered | 1900 Campus Commons Drive, Suite 100, Reston, VA 20191 | 2014-12-02 |
| 1700214293 | Sonny Sunghun Kim | Dentist | 11876 Sunrise Valley Drive, 101, Reston, VA 20191 | 2013-10-22 |
| 1982036786 | Stephanie Lourdes Miller | Physician Assistant | 12040 South Lakes Drive, Suite 207, Generations Family Practice, Reston, VA 20191 | 2013-08-02 |
| 1316250988 | Thao Ngoc Vuong | Pharmacist | 1898 Winterport Cluster, Reston, VA 20191 | 2010-07-23 |
| Find all providers in zip 20191 | ||||
| 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 |
|---|---|---|---|---|
| 1598150955 | Jourdan Tyler Aromin | Psychiatry & Neurology | 1900 Campus Commons Dr Ste 100, Reston, VA 20191-1535 | 2015-04-02 |
| 1982993598 | Vasthie Arteaga | Psychiatry & Neurology | 1768 Business Center Dr Ste 100, Reston, VA 20190-5359 | 2011-04-04 |
| 1588791040 | Cynthia Spellman | Psychiatry & Neurology | 11921 Freedom Dr, Suite 550, Reston, VA 20190-5667 | 2007-02-28 |
| 1053449389 | Imran Akram | Psychiatry & Neurology | 1800 Town Center Dr Ste 420, Reston, VA 20190-3240 | 2007-02-28 |
| 1922105436 | Betty Schnur Donskoy | Psychiatry & Neurology | 1800 Town Center Dr Suite 420, Reston, VA 20190 | 2006-09-19 |
| 1831175892 | Huma Khalil | Psychiatry & Neurology | 1850 Cameron Glen Dr Ste 600, Reston, VA 20190-3343 | 2005-12-21 |
| 1356338206 | Itoro Ibia | Psychiatry & Neurology | 11701 Bowman Green Dr, Reston, VA 20190-3573 | 2005-10-05 |
| 1053727404 | Tele-physicians, P.C. | Psychiatry & Neurology | 1768 Business Center Dr Ste 100, Reston, VA 20190-5359 | 2014-07-07 |
| 1912269598 | James B. Blitch, Jr., M.d, PC | Psychiatry & Neurology | 1810 Michael Faraday Dr, Suite 204, Reston, VA 20190-5353 | 2012-06-11 |
| 1770877144 | Karina Tamir | Psychiatry & Neurology | 1768 Business Center Dr Ste 100, Reston, VA 20190-5359 | 2011-06-02 |
| Find all providers in RESTON | ||||
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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.