Active NPI
Tina Aram Jin, M.D.
- Child & Adolescent Psychiatry Physician
- MC Lean, VA
National Provider Identifier
1205926656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 0101234833
- Practice address
- 6723 Whittier Ave Ste 403
MC Lean, VA 22101-4533 - Phone
- (703) 538-1110
- Fax
- (703) 288-4334
- NPI assigned
- Oct 14, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | 0101234833 | VA | Primary |
Addresses
Primary practice location
6723 Whittier Ave Ste 403
MC Lean, VA 22101-4533
Mailing address
7618 Center St
Falls Church, VA 22043-2925
Phone (703) 204-0988
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Sep 18, 2024 through Sep 18, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101234833 | VA | MD | Child & Adolescent Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572393600000",
"number": "1205926656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7618 CENTER ST",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "220432925",
"telephone_number": "703-204-0988",
"fax_number": "703-734-2994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6723 WHITTIER AVE STE 403",
"city": "MC LEAN",
"state": "VA",
"postal_code": "221014533",
"telephone_number": "703-538-1110",
"fax_number": "703-288-4334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JIN",
"first_name": "TINA",
"middle_name": "ARAM",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-14",
"last_updated": "2019-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "VA",
"license": "0101234833",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in MC Lean, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.