Individual provider Active NPI

Thaddeus Markham Garland, M.D.

  • Psychiatry Physician
  • Reston, VA
National Provider Identifier
1336447697
Registry record updated Mar 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
0101256114 Issued in VA
Practice address
12020 Sunrise Valley Dr Ste 100
Reston, VA 20191-3429
Phone
(703) 476-2263
Fax
(620) 506-4003
NPI assigned
Mar 9, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 0101256114 VA
Psychiatry Physician 2084P0800X 0101256114 VA Primary

Addresses

Primary practice location

12020 Sunrise Valley Dr Ste 100
Reston, VA 20191-3429

Mailing address

504 Rankin St NE # 2
Atlanta, GA 30308-2812
Phone (703) 476-2263

Other practice location 1

11921 Freedom Dr Ste 550
Reston, VA 20190-5635
Phone (703) 783-4375

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101256114VAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Compass Behavioral Health PLLC Current Accepting new patients
Tandem Telehealth Medical Group PLLC Current Accepting new patients
Thaddeus M Garland MD LLC Psychiatry CurrentSince Apr 23, 2023 Accepting new patients

Locations

9255 Center St
Ste 102
Manassas, VA 20110
Phone (804) 332-6061

12020 Sunrise Valley Dr
Ste 100
Reston, VA 20191
Phone (571) 241-3915

11921 Freedom Dr
Ste 550
Reston, VA 20190
Phone (571) 423-9282

3900 Westerre Pkwy
Ste 300
Richmond, VA 23233
Phone (301) 928-5012

Interoperability endpoints

  • Direct secure messaging: tandem_tmg@org134.direct.charmhealth.com

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1299628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679270400000",
    "number": "1336447697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 RANKIN ST NE # 2",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303082812",
            "telephone_number": "703-476-2263",
            "fax_number": "620-506-4003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12020 SUNRISE VALLEY DR STE 100",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201913429",
            "telephone_number": "703-476-2263",
            "fax_number": "620-506-4003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11921 Freedom Dr Ste 550",
            "address_purpose": "LOCATION",
            "city": "Reston",
            "state": "VA",
            "postal_code": "201905635",
            "country_code": "US",
            "telephone_number": "703-783-4375",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARLAND",
        "first_name": "THADDEUS",
        "middle_name": "MARKHAM",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-09",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "VA",
            "license": "0101256114",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101256114",
            "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 Mar 20, 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.