Organization Active NPI

Teresa L. Delawter, M.D., P.C.

  • Psychiatry Physician
  • Manassas, VA
National Provider Identifier
1295920338
Registry record updated Oct 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
0101051233 Issued in VA
Legal business name
TERESA L. DELAWTER, M.D., P.C.
Practice address
9108 Church St.
Unit 486
Manassas, VA 20108-8020
Phone
(703) 257-8401
NPI assigned
Sep 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2016

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

Authorized official

Name
Dr. Teresa L. Delawter, M.D.
Title
President
Phone
(703) 257-8401

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X 0101051233 VA Primary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X 40899 VA

Addresses

Primary practice location

9108 Church St.
Unit 486
Manassas, VA 20108-8020

Mailing address

9108 Church St
Unit 486
Manassas, VA 20108-8001
Phone (703) 257-8401

National Provider Directory

National Provider Directory

Locations

9108 Church St
Unit 486
Manassas, VA 20108
Phone (703) 257-8401

NPI Registry JSON

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

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476144000000",
    "number": "1295920338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9108 CHURCH ST",
            "address_2": "UNIT 486",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201088001",
            "telephone_number": "703-257-8401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9108 CHURCH ST.",
            "address_2": "UNIT 486",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201088020",
            "telephone_number": "703-257-8401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERESA L. DELAWTER, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-12",
        "last_updated": "2016-10-11",
        "status": "A",
        "authorized_official_last_name": "DELAWTER",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-257-8401",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101051233",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "40899",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manassas, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2016; 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.