Virginia Mental Health Inc

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

0101235819 Issued in VA

Legal business name

VIRGINIA MENTAL HEALTH INC

Practice address

1800 Michael Faraday Dr Ste 206
Reston, VA 20190-5312

Phone

(888) 237-5426

Fax

(703) 763-2350

NPI assigned

Sep 25, 2006

Last updated

Dec 14, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shahnoor Ali Khan, MDNPI 1346342458

Title

President

Phone

(703) 400-3433

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Fairfax Psychiatry PC Former legal business name

Medicare fee-for-service enrollment

Enrolled in DC, VA2 enrollments

Enrollment records 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shahnoor Ali Khan, MD

  • Psychiatry Physician
  • Martinsburg, WV
  • NPI 1346342458

  DC, VA

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702512000000",
    "number": "1356442206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11123 COROBON LN",
            "city": "GREAT FALLS",
            "state": "VA",
            "postal_code": "220661403",
            "telephone_number": "304-279-9772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 MICHAEL FARADAY DR STE 206",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201905312",
            "telephone_number": "888-237-5426",
            "fax_number": "703-763-2350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA MENTAL HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "SHAHNOOR",
        "authorized_official_middle_name": "ALI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-400-3433",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101235819",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "0101235819",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fairfax Psychiatry PC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Fairfax Psychiatry PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Virginia Dental Solutions of Reston PLLC
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• Virginia Internal Medicine Inc
• Virginia Internal Medicine Inc
• Virginia Reproductive Labs
• Virginia Reproductive Surgery Center
• Virginia Spine Institute PLC
• Virginia Surgery Group PC
• Virginia Therapy & Fitness Center

• Psychiatry Physician in Reston, VA
• Providers in Reston, VA by specialty
• Psychiatry Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.