Adult and Geriatric Psychiatry

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

0101232595 Issued in VA

Legal business name

ADULT AND GERIATRIC PSYCHIATRY

Practice address

19415 Deerfield Ave
Ste 310
Lansdowne, VA 20176-8452

Phone

(703) 858-0076

Fax

(703) 726-6394

NPI assigned

Jul 18, 2006

Organization subpart

No

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

Authorized official

Name

Tara Mangat, MD

Title

President

Phone

(703) 858-0076

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196208000000",
    "number": "1386662971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 825",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201460825",
            "telephone_number": "703-858-0076",
            "fax_number": "703-726-6394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19415 DEERFIELD AVE",
            "address_2": "STE 310",
            "city": "LANSDOWNE",
            "state": "VA",
            "postal_code": "201768452",
            "telephone_number": "703-858-0076",
            "fax_number": "703-726-6394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADULT AND GERIATRIC PSYCHIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2007-11-28",
        "status": "A",
        "authorized_official_last_name": "MANGAT",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-858-0076",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101232595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• A Wink and a Smile Denitst PLLC
• Paulos Dereje Abebe, PA-C
• Chandra Adhikari, APRN
• Ashley Aguirre, RESIDENT
• Ali Al-Fakhri
• Allergy & Asthma Affiliates, Inc.
• Allergy Asthma & Immunology Institute
• Nicole Renae Alvarez, PA-C

• All providers in Lansdowne, VA
• Psychiatry Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2007; 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.