Organization Active NPI

The Fountain Group

  • Psychiatry Physician
  • Reston, VA
National Provider Identifier
1275316739
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
THE FOUNTAIN GROUP
Practice address
1900 Reston Metro PLZ Ste 600
Reston, VA 20190-5952
Phone
(929) 603-9612
NPI assigned
Aug 17, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2023

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

Authorized official

Name
Prashanth Pillai, MD
Title
Owner/Physician
Phone
(929) 603-9612

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

1900 Reston Metro PLZ Ste 600
Reston, VA 20190-5952

Mailing address

1900 Reston Metro PLZ Ste 600
Reston, VA 20190-5952
Phone (929) 603-9612

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1692230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692230400000",
    "number": "1275316739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 RESTON METRO PLZ STE 600",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201905952",
            "telephone_number": "929-603-9612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 RESTON METRO PLZ STE 600",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201905952",
            "telephone_number": "929-603-9612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE FOUNTAIN GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-17",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A",
        "authorized_official_last_name": "PILLAI",
        "authorized_official_first_name": "PRASHANTH",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "929-603-9612",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reston, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; 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.