Organization Active NPI

New Stress Clinic Inc

  • Community/Behavioral Health Agency
  • Alexandria, VA
National Provider Identifier
1033455803
Registry record updated Aug 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MD21377 Issued in DC
Legal business name
NEW STRESS CLINIC INC
Practice address
5194 Dawes Ave
Alexandria, VA 22311
Phone
(301) 674-2742
NPI assigned
Dec 22, 2012
Last updated
Aug 14, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2018

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

Authorized official

Name
Rama S Prayaga, M.DNPI 1033121058
Title
MD
Phone
(301) 674-2742

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Prescribing (Medical) PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TP0016X 0101053989 VA
Community/Behavioral Health Agency 251S00000X MD21377 DC Primary

Addresses

Primary practice location

5194 Dawes Ave
Alexandria, VA 22311

Mailing address

5194 Dawes Ave
Alexandria, VA 22311-1402
Phone (301) 674-2742

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160425000076 DC Part B Supplier - Clinic/Group Practice 9931408028 Receives reassigned benefits from 1 practitioner
Practice locations: Alexandria, VA; Washington, DC

National Provider Directory

National Provider Directory

Locations

1325 18th St NW
Ste 210
Washington, DC 20036
Phone (202) 386-6199

4710 Auth Pl
Ste 130
Suitland, MD 20746
Phone (301) 576-9975

5194 Dawes Ave
Alexandria, VA 22311
Phone (703) 671-9530

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1356134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534204800000",
    "number": "1033455803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5194 DAWES AVE",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223111402",
            "telephone_number": "301-674-2742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5194 DAWES AVE",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "22311",
            "telephone_number": "301-674-2742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW STRESS CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-22",
        "last_updated": "2018-08-14",
        "status": "A",
        "authorized_official_last_name": "PRAYAGA",
        "authorized_official_first_name": "RAMA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "301-674-2742",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "103TP0016X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "VA",
            "license": "0101053989",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "DC",
            "license": "MD21377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.