Individual provider Active NPI

Yasmin Banaei

  • Psychiatry Physician
  • Sterling, VA
National Provider Identifier
1215311808
Registry record updated Nov 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
0101270744 Issued in VA
Practice address
46175 Westlake Dr Ste 110
Sterling, VA 20165-5873
Phone
(202) 681-0594
NPI assigned
Jul 14, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD048615 DC
Psychiatry Physician 2084P0800X D0090328 MD
Psychiatry Physician 2084P0800X 0101270744 VA Primary

Addresses

Primary practice location

46175 Westlake Dr Ste 110
Sterling, VA 20165-5873

Mailing address

416 Florida Ave NW Unit 26484
Washington, DC 20001-0519
Phone (202) 681-0594

Other names 1

  • Yasmin Pourkazemi Banaei Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MD048615DCMDPsychiatry Physician
D0090328MDMDPsychiatry Physician
0101270744VAMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1436832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606694400000",
    "number": "1215311808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 FLORIDA AVE NW UNIT 26484",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200010519",
            "telephone_number": "202-681-0594",
            "fax_number": "628-209-5692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46175 WESTLAKE DR STE 110",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201655873",
            "telephone_number": "202-681-0594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANAEI",
        "first_name": "YASMIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-14",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "DC",
            "license": "MD048615",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D0090328",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101270744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YASMIN",
            "last_name": "BANAEI",
            "middle_name": "POURKAZEMI",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sterling, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2020; 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.