Individual provider Active NPI

Debora E Amichia, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Purcellville, VA
National Provider Identifier
1366238248
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024193234 Issued in VA
Practice address
17336 Pickwick Dr Ste 101
Purcellville, VA 20132-6180
Phone
(844) 863-4621
Fax
(703) 665-7686
NPI assigned
Apr 16, 2025
Last updated
Sep 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024193234 VA Primary
Registered Nurse 163W00000X 0001261665 VA

Addresses

Primary practice location

17336 Pickwick Dr Ste 101
Purcellville, VA 20132-6180

Mailing address

17336 Pickwick Dr Ste 101
Purcellville, VA 20132-6180
Phone (844) 863-4621

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260114000839 VA Practitioner - Nurse Practitioner 5496231094 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urgent Behavioral Health Services, LLC.Group PAC ID 7517401474, 3 clinicians

Practice addresses (Care Compare)

8811 Sudley Rd
Suite 205
Manassas, VA 20110-4750
Phone (703) 743-1337

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0001261665VAMDRegistered Nurse
0024193234VAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Renewed Mental Health & Wellness, PLLC Psychiatric/Mental Health Current Accepting new patients
Urgent Behavioral Health Services, LLC Psychiatric/Mental Health CurrentSince Dec 12, 2025 Accepting new patients
Commonwealth Counseling Associates Inc Psychiatric/Mental Health CurrentSince Oct 1, 2026 Accepting new patients
Prime Mental Health & Wellness Psychiatric/Mental Health CurrentSince Apr 20, 2025 Accepting new patients

Locations

8811 Sudley Rd
#205
Manassas, VA 20110
Phone (703) 743-1337

17336 Pickwick Dr
Ste 101
Purcellville, VA 20132
Phone (540) 926-3885

8401 Mayland Dr
Ste S
Richmond, VA 23294
Phone (774) 473-8890

392 Garrisonville Rd
Ste 210B
Stafford, VA 22554
Phone (540) 930-4063

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1744761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1366238248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17336 PICKWICK DR STE 101",
            "city": "PURCELLVILLE",
            "state": "VA",
            "postal_code": "201326180",
            "telephone_number": "844-863-4621",
            "fax_number": "703-665-7686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17336 PICKWICK DR STE 101",
            "city": "PURCELLVILLE",
            "state": "VA",
            "postal_code": "201326180",
            "telephone_number": "844-863-4621",
            "fax_number": "703-665-7686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMICHIA",
        "first_name": "DEBORA",
        "middle_name": "E",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-16",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024193234",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001261665",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Purcellville, VA

Sources for this page

Verify at the official NPI Registry.