Active NPI
Nova Psych & Wellness
- Psychiatric/Mental Health Nurse Practitioner
- Fairfax, VA
National Provider Identifier
1073222311
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- NOVA PSYCH & WELLNESS
- Practice address
- 10306 Eaton PL Ste 300
Fairfax, VA 22030-2201 - Phone
- (703) 783-2474
- Fax
- (703) 783-7459
- NPI assigned
- Nov 15, 2022
- Last updated
- Nov 15, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Melanie Yousefi, DNP, PMHNP-BC
- Title
- Co-Owner
- Phone
- (703) 783-2474
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
10306 Eaton PL Ste 300
Fairfax, VA 22030-2201
Mailing address
10306 Eaton PL Ste 300
Fairfax, VA 22030-2201
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609258946 | Other | VA | NPI |
| 1477009918 | Other | VA | NPI |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Fairfax, VA
- NPI 1477009918
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668470400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1668470400000",
"number": "1073222311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10306 EATON PL STE 300",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220302201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10306 EATON PL STE 300",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220302201",
"telephone_number": "703-783-2474",
"fax_number": "703-783-7459"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NOVA PSYCH & WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-15",
"last_updated": "2022-11-15",
"certification_date": "2022-11-15",
"status": "A",
"authorized_official_last_name": "YOUSEFI",
"authorized_official_first_name": "MELANIE",
"authorized_official_title_or_position": "CO-OWNER",
"authorized_official_telephone_number": "703-783-2474",
"authorized_official_credential": "DNP, PMHNP-BC"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1609258946",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1477009918",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fairfax, VA
- Nova Pain Management Center Inc (Nova Medical Center)
- Nova Physician Wellness Center PLLC
- Nova Premier Eyecare
- Nova Premier Eyecare, P.C.
- Nova Professional Home Health Care LLC
- Nova Reconstructive Surgery LLC
- Nova Smile Design PLLC (Smile Design of Northern Virginia)
- Nova Spine & Injury Center, Inc.
- Nova Women's Healthcare Inc
- Nova Wound Care, P.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.