Individual provider Active NPI

Anne Catherine Fedyszen, M.D.

  • Child & Adolescent Psychiatry Physician
  • Midlothian, VA
National Provider Identifier
1023005287
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
Practice address
13506 E Boundary Rd
Suite a
Midlothian, VA 23112-3930
Phone
(804) 744-9652
Fax
(804) 744-1265
NPI assigned
Oct 4, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X VA Primary

Addresses

Primary practice location

13506 E Boundary Rd
Suite a
Midlothian, VA 23112-3930

Mailing address

13506 E Boundary Rd
Suite a
Midlothian, VA 23112-3930
Phone (804) 744-9652

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
101050610VAMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Behavioral Health Associates, LLC PastSince Aug 1, 1998 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1023005287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13506 E BOUNDARY RD",
            "address_2": "SUITE A",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231123930",
            "telephone_number": "804-744-9652",
            "fax_number": "804-744-1265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13506 E BOUNDARY RD",
            "address_2": "SUITE A",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231123930",
            "telephone_number": "804-744-9652",
            "fax_number": "804-744-1265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEDYSZEN",
        "first_name": "ANNE",
        "middle_name": "CATHERINE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-04",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.