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Contact Information

NOVA PSYCHIATRIST, LLC
12359 SUNRISE VALLEY DR
SUITE 320
RESTON, VA20191-3462
 Phone: 703-596-4796
 Fax: 703-435-6747
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Clinical

103TC0700X 62 Psychologist, Clinical
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Clinical Neuropsychologist

103G00000X
 

Mental Health

101YM0800X
 

Psychiatric/Mental Health, Child & Adolescent

364SP0807X 89 Certified Clinical Nurse Specialist
Indicates primary specialty

NPI Profile & details for NOVA PSYCHIATRIST, LLC

NPI # 1912302555
LBN Legal business name NOVA PSYCHIATRIST, LLC
Authorized official MADAN UPRETY - (MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/24/2014
Last updated 10/24/2014 - About 12 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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