Northern Virginia Psychiatry PC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

0101236602 Issued in VA

Legal business name

NORTHERN VIRGINIA PSYCHIATRY PC

Practice address

13505 Dulles Technology Dr
Suite 1a
Herndon, VA 20171-3401

Phone

(703) 773-0447

Fax

(703) 773-0448

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

Balraj Dhillon, MDNPI 1780677989

Title

President

Phone

(703) 773-0447

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Balraj Dhillon, MD

  • Psychiatry Physician
  • Manassas, VA
  • NPI 1780677989

  DC

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204070400000",
    "number": "1447278049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13608 HOLLY RIDGE LN",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "20155",
            "telephone_number": "703-773-0447",
            "fax_number": "703-773-0448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13505 DULLES TECHNOLOGY DR",
            "address_2": "SUITE 1A",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201713401",
            "telephone_number": "703-773-0447",
            "fax_number": "703-773-0448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN VIRGINIA PSYCHIATRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2008-02-27",
        "status": "A",
        "authorized_official_last_name": "DHILLON",
        "authorized_official_first_name": "BALRAJ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-773-0447",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101236602",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST/BC OF WASH DC",
            "identifier": "N033",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "182080",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bao-Chau Audrey T Nguyen, MD
• Long Nguyen
• Edward M Nielsen
• Kathryn Nivera, MSW
• Visakha N Nong, PHARM. D
• Northern Virginia Psychotherapy Assoc., Inc.
• Norva Home Health Care, LLC
• Nourish Well Integrative Nutrition, LLC
• Nourition
• Nova ABA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2008; 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.