Gary Robert Spivack, M.D.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

028472 Issued in VA

Practice address

2501 N Glebe Rd
Suite 303
Arlington, VA 22207-3558

Phone

(703) 841-1290

Fax

(703) 841-1315

NPI assigned

Aug 11, 2006

Last updated

Sep 11, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, VA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Columbia Associates in Psychiatry PC

  • Psychiatry Physician
  • Arlington, VA
  • NPI 1699012930

  DC

  Medicare reassignment NPD Authorized official
• Mindshape LLC

  • Psychiatry Physician
  • Falls Church, VA
  • NPI 1912452327
  Authorized official Same address or phone
• Resource Psychiatric PLC

  • Neurodevelopmental Disabilities Physician
  • Arlington, VA
  • NPI 1801361027
  NPD
• Gary Spivack Dba Columbia Associates in Psychiatry

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Arlington, VA
  • NPI 1699806026
  NPD (past)

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1457362576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5404 16TH ST N",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222052763",
            "telephone_number": "703-532-5520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 N GLEBE RD",
            "address_2": "SUITE 303",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222073558",
            "telephone_number": "703-841-1290",
            "fax_number": "703-841-1315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPIVACK",
        "first_name": "GARY",
        "middle_name": "ROBERT",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "028472",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "VA",
            "license": "028472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jillian K Spence
• Tyler Spicer, EMT
• Susan Reynolds Spies, N.P.
• Gabrielle G Spinella
• Rachel Ann Spiotto, PA-C
• Jordan Paige Spivak, MS, RD, LDN
• Sport Psyence, LLC
• Elizabeth Spoth, CCC-SLP
• Spruce Mind, LLC
• Michelle St John, MS

• Child & Adolescent Psychiatry Physician in Arlington, VA
• Providers in Arlington, VA by specialty
• Child & Adolescent Psychiatry Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.