NPIMap

Individual provider Active NPI

Marija Petrovic, M.D.

  • Psychiatry Physician
  • Alexandria, VA
National Provider Identifier
1225138530
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
0101240021 Issued in VA
Practice address
8119 Holland Rd
Alexandria, VA 22306-3135
Phone
(703) 360-6910
NPI assigned
Sep 25, 2006
Last updated
Aug 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 4301108464 MI
Psychiatry Physician 2084P0800X 0101240021 VA Primary

Addresses

Primary practice location

8119 Holland Rd
Alexandria, VA 22306-3135

Mailing address

8119 Holland Rd
Alexandria, VA 22306-3135
Phone (703) 360-6910

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MI2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070221000488 DC Practitioner - Psychiatry 9739281700 Reassigns benefits to 1 organization
I20170214002631 MI Practitioner - Psychiatry 9739281700 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Community Mental Health for Central MichiganGroup PAC ID 4688660533, 44 clinicians
Hiawatha Community Behavioral Health AuthorityGroup PAC ID 3870509490, 13 clinicians

Practice addresses (Care Compare)

301 S Crapo St
Mt Pleasant, MI 48858-2941
Phone (989) 772-5938

3865 S Mackinac TRL
Sault Sainte Marie, MI 49783-9286
Phone (906) 632-2805

8119 Holland Rd
Alexandria, VA 22306-3135
Phone (703) 324-7000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301108464MIMDPsychiatry Physician
0101240021VAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hiawatha Community Behavioral Health Authority CurrentSince Feb 13, 2017 Accepting new patients
Kalamazoo County Community Mental Health Authority CurrentSince Mar 1, 2018 Accepting new patients
Community Mental Health for Central Michigan Psychiatry CurrentSince Nov 1, 2020 Accepting new patients
Kalamazoo County Community Mental Health Authority CurrentSince Mar 1, 2018 Accepting new patients

Locations

2030 Portage St
Kalamazoo, MI 49001
Phone (269) 553-7132

615 E Crosstown Pkwy
Kalamazoo, MI 49001
Phone (269) 373-6000

125 N Lake St
Manistique, MI 49854
Phone (906) 341-2144

218 Fast Ice Dr
Midland, MI 48642
Phone (989) 631-2320

301 S Crapo St
Ste 200
Mt Pleasant, MI 48858
Phone (989) 772-5938

301 S Crapo St
Ste 100
Mt Pleasant, MI 48858
Phone (989) 772-5938

3865 S Mackinac Trl
Sault Sainte Marie, MI 49783
Phone (906) 632-2805

Organizations & group practices 6

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1225138530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8119 HOLLAND RD",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223063135",
            "telephone_number": "703-360-6910",
            "fax_number": "703-360-0899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8119 HOLLAND RD",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223063135",
            "telephone_number": "703-360-6910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETROVIC",
        "first_name": "MARIJA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301108464",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101240021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

Verify at the official NPI Registry.