Organization Active NPI

Novacare Psychiatry

  • Psychiatry Physician
  • Vienna, VA
National Provider Identifier
1154281145
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
NOVACARE PSYCHIATRY
Practice address
8230 Boone Blvd Ste 350
Vienna, VA 22182-2632
Phone
(571) 224-7058
NPI assigned
Nov 13, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2025

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

Authorized official

Name
Yusuf Azim, MDNPI 1275995797
Title
Owner
Phone
(571) 224-7058

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)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

8230 Boone Blvd Ste 350
Vienna, VA 22182-2632

Mailing address

8230 Boone Blvd Ste 350
Vienna, VA 22182-2632
Phone (571) 224-7058

Other practice location 1

8420 Quarry Rd
Manassas, VA 20110-5326
Phone (703) 991-1768 ext. 11768

National Provider Directory

National Provider Directory

Locations

8230 Boone Blvd
Ste 350
Vienna, VA 22182
Phone (571) 224-7058

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1762992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766448000000",
    "number": "1154281145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8230 BOONE BLVD STE 350",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822632",
            "telephone_number": "571-224-7058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8230 BOONE BLVD STE 350",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822632",
            "telephone_number": "571-224-7058"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8420 QUARRY RD",
            "address_purpose": "LOCATION",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201105326",
            "country_code": "US",
            "telephone_number": "703-991-1768 x11768",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NOVACARE PSYCHIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-13",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A",
        "authorized_official_last_name": "AZIM",
        "authorized_official_first_name": "YUSUF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "571-224-7058",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2025; 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.