Gary J. Soverow, MD, PC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

0101029067 Issued in VA

Legal business name

GARY J. SOVEROW, MD, PC

Practice address

6888 Elm St
Suite 3C
MC Lean, VA 22101-3894

Phone

(703) 821-1324

Fax

(703) 821-1324

NPI assigned

Jun 27, 2012

Organization subpart

Yes

Parent organization

GARY J. SOVEROW, MD, PCAs reported in NPPES

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

Authorized official

Name

Dr. Gary Jan Soverow, M.D.

Title

President

Phone

(703) 821-1324

Specialties & licenses 1

Addresses

Part of

Gary J Soverow MD PC

Locations

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

{
    "created_epoch": "1340755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340755200000",
    "number": "1285998955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6888 ELM ST",
            "address_2": "SUITE 3C",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221013894",
            "telephone_number": "703-821-1324",
            "fax_number": "703-821-1324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6888 ELM ST",
            "address_2": "SUITE 3C",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221013894",
            "telephone_number": "703-821-1324",
            "fax_number": "703-821-1324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY J. SOVEROW, MD, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GARY J. SOVEROW, MD, PC",
        "enumeration_date": "2012-06-27",
        "last_updated": "2012-06-27",
        "status": "A",
        "authorized_official_last_name": "SOVEROW",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "JAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-821-1324",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101029067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Steven Gardner, LCSW
• Gregory R Garman, PT
• Mina Garrett-Scott, MD
• Jacqueline W Garrison, DPT
• Wendy Carin Garson, OD
• Susan Beardsley Gatsos, LPC
• Nordine Gaugau, M.D.
• Mandeep Grewal Gauthier, M.D.
• Lillian Gavrilovich, M.D.
• GD VA Gda PLLC

• Psychiatry Physician in MC Lean, VA
• Providers in MC Lean, VA by specialty
• Psychiatry Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2012; 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.