DAVID E. HIATT PHD MD PC (NPI# 1932352838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932352838 |
| Entity Type | Organization |
| Organization Name | DAVID E. HIATT PHD MD PC |
| Practice Address |
6845 Elm St Suite 400 Mc Lean VA 22101-6007 |
| Practice Telephone | 7038217966 |
| Practice Fax Number | 7037341441 |
| Mailing Telephone | 7038217966 |
| Mailing Fax Number | 7037341441 |
| Enumeration Date | 2008-10-23 |
| Last Update Date | 2009-11-19 |
| Authorized Official Name | DR. DAVID ELLIS HIATT (PRESIDENT) |
| Authorized Official Telephone | 7038217966 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
0101045403 | VA | Ambulatory Health Care Facilities |
| Street Address |
6845 ELM ST SUITE 400 |
| City | MC LEAN |
| State | VA |
| Zip Code | 22101-6007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497758098 | Richard Lee Roth | Psychiatry & Neurology | 6845 Elm St, Ste 210, Mc Lean, VA 22101-3822 | 2005-05-27 |
| 1467901702 | Danielle May | Physician Assistant | 6845 Elm St, Suite 708, Mc Lean, VA 22101-6007 | 2016-09-28 |
| 1699113159 | Sooyeon Caritas Ahn | Dentist | 6845 Elm St, Suite 450, Mc Lean, VA 22101-6007 | 2013-06-06 |
| 1821330002 | M. Renee Jespersen, Md PC | Plastic Surgery | 6845 Elm St, Suite 708, Mc Lean, VA 22101-6007 | 2013-03-26 |
| 1992069918 | Eun Young Lee | Dentist | 6845 Elm St, Mc Lean, VA 22101-6007 | 2012-06-25 |
| 1023314333 | Sok Woong Daniel Han | Dentist | 6845 Elm St, 450, Mc Lean, VA 22101-6007 | 2011-02-03 |
| 1740590405 | Integrative Oral & Facial Surgery LLC | Dentist | 6845 Elm St, Suite 305, Mc Lean, VA 22101-6007 | 2010-10-15 |
| 1891938783 | Pinky Khatri | Audiologist | 6845 Elm St, Suite 303, Mc Lean, VA 22101-6007 | 2009-04-08 |
| 1780832949 | Kathleen D. Solomon | Specialist | 6845 Elm St, 600, Mc Lean, VA 22101-6007 | 2008-08-29 |
| 1013171552 | Eva Maria Theodosiadis | Psychiatry & Neurology | 6845 Elm St, Suite 507, Mc Lean, VA 22101-6007 | 2008-07-14 |
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| 1104452630 | Kyle Rose | Counselor | 1360 Beverly Road, Suite 200, Mclean, VA 22101 | 2020-03-16 |
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| 1326691759 | Vansay Vorrasane | Physical Therapist | 1735 Kirby Road, Mclean, VA 22101 | 2019-07-24 |
| 1912464025 | Veronica Martinez | Occupational Therapist | 1735 Kirby Rd., Mclean, VA 22101 | 2019-02-25 |
| 1114409547 | Katia Julio Salomao | Behavior Technician | 1651 Old Meadow Rd Suite 600, Mclean, VA 22101 | 2018-09-01 |
| 1871086157 | Steeple Run Associates, LLC | In Home Supportive Care | 1499 Chain Bridge Road, Suite 203-a, Mclean, VA 22101 | 2018-06-11 |
| 1982110565 | Jennifer Gallagher Munroe | Counselor | 1485 Chain Bridge Rd Ste 300, Mc Lean, VA 22101 | 2017-12-19 |
| 1497272553 | Alireza Aram | Dentist | 8421 Broad Street, Ste 1319, Mclean, VA 22101 | 2017-08-29 |
| 1104347962 | Louise Parry | Social Worker | 1491 Chain Bridge Road #300, Weaver and Associates, Mclean, VA 22101 | 2017-07-03 |
| 1366979361 | Anita Kathleen Bryce | Social Worker | 1364 Beverly Road, #304, Mclean, VA 22101 | 2017-05-22 |
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| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790926426 | Susan Kinkead-acree, Md, Pllc | Clinic/Center | 1320 Old Chain Bridge Rd, Suite 420, Mc Lean, VA 22101-3956 | 2009-03-09 |
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| 1134680796 | Your Path Counseling Center LLC | Clinic/Center | 104 N Railroad Ave Ste A, Ashland, VA 23005-1528 | 2019-03-27 |
| 1245797083 | Reboot LLC | Clinic/Center | 7006 Old Reflection Dr, Mechanicsville, VA 23111-4284 | 2019-02-28 |
| 1679040976 | Hidden Roots Mental Health LLC | Clinic/Center | 205 E Broadway Ste 200, Hopewell, VA 23860-2809 | 2018-10-25 |
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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.