M Ruth Infante MD PC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

0101-046537 Issued in VA

Legal business name

M RUTH INFANTE MD PC

Practice address

1500 N. Beauregard St,
Suite 240
Alexandria, VA 22311-1715

Phone

(703) 575-8101

Fax

(703) 575-8373

NPI assigned

Nov 3, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Mary Ruth Infante, M.D.NPI 1427092790

Title

Owner

Phone

(703) 575-8101

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DC, VA2 enrollments

Enrollment records 2

Locations

Practitioners 7

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.

• Mary Ruth Infante, MD

  • Psychiatry Physician
  • Alexandria, VA
  • NPI 1427092790

  DC

  Medicare reassignment Authorized official
• Carolyn Jean Dozier, L.C.S.W.

  • Clinical Social Worker
  • Falls Church, VA
  • NPI 1225247471
  NPD (past)
• Susan L Miller, LCSW

  • Clinical Social Worker
  • Alexandria, VA
  • NPI 1932269206
  NPD (past)
• Andrew B Molchon, MD

  • Geriatric Psychiatry Physician
  • Alexandria, VA
  • NPI 1871536052
  NPD (past)
• John W Naas, LCSW

  • Clinical Social Worker
  • Alexandria, VA
  • NPI 1659307767
  NPD (past)
• Edda Varona, FNP

  • Family Nurse Practitioner
  • Alexandria, VA
  • NPI 1306881230
  NPD (past)
• Shawn Patrick Gallagher, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Buckeye, AZ
  • NPI 1710903281

  Psychiatry

  NPD (past)

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

{
    "created_epoch": "1414972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430092800000",
    "number": "1043615057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 N. BEAUREGARD ST,",
            "address_2": "SUITE 240",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223111715",
            "telephone_number": "703-575-8101",
            "fax_number": "703-575-8373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 N. BEAUREGARD ST,",
            "address_2": "SUITE 240",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223111715",
            "telephone_number": "703-575-8101",
            "fax_number": "703-575-8373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M RUTH INFANTE MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-03",
        "last_updated": "2015-04-27",
        "status": "A",
        "authorized_official_last_name": "INFANTE",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "RUTH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-575-8101",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101-046537",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7101309",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lyons
• Margaret Ellen Lyons, LCSW
• M Management Group LLC
• M Management Group, LLC
• M Medical Group, Inc.
• M-Sphere LLC
• M.G. Smith, D.D.S., P.L.C. (Alexandria Advanced Dentistry)
• M&M Caring Hands Agency, Inc.
• Ma-Lowe Home Care Agency, Inc (Ma-Lowe Home Care Agency)
• Andy Ma, DDS

• Psychiatry Physician in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Psychiatry Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2015; 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.