Individual provider Active NPI

Dean F. Gawum, DNP, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Haymarket, VA
National Provider Identifier
1215616727
Registry record updated Jul 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024187528 Issued in VA
Practice address
14808 Keavy Ridge CT
Haymarket, VA 20169-5404
Phone
(703) 586-5665
NPI assigned
Jul 12, 2023
Last updated
Jul 12, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024187528 VA Primary

Addresses

Primary practice location

14808 Keavy Ridge CT
Haymarket, VA 20169-5404

Mailing address

14808 Keavy Ridge CT
Haymarket, VA 20169-5404
Phone (703) 586-5665

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231116003284 VA Practitioner - Nurse Practitioner 2567817943 Reassigns benefits to 1 organization
I20241018000190 DC Practitioner - Nurse Practitioner 2567817943 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

14808 Keavy Ridge CT
Haymarket, VA 20169-5404

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0024187528VAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Relief Healing Mental Health Services LLC CurrentSince Sep 27, 2023 Accepting new patients

Locations

4315 50th St NW
Ste 100
Washington, DC 20016
Phone (240) 277-4427

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1689120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1215616727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14808 KEAVY RIDGE CT",
            "city": "HAYMARKET",
            "state": "VA",
            "postal_code": "201695404",
            "telephone_number": "703-586-5665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14808 KEAVY RIDGE CT",
            "city": "HAYMARKET",
            "state": "VA",
            "postal_code": "201695404",
            "telephone_number": "703-586-5665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAWUM",
        "first_name": "DEAN",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-12",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024187528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haymarket, VA

Sources for this page

Verify at the official NPI Registry.