Melanie Yousefi, PMHNP-BC, DNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

0024176340 Issued in VA

Practice address

11198 Lee Hwy Ste D2
Fairfax, VA 22030-5009

Phone

(703) 783-2474

Fax

(703) 783-7459

NPI assigned

Aug 25, 2016

Last updated

Jan 14, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Nova Psych & Wellness

  • Psychiatric/Mental Health Nurse Practitioner
  • Fairfax, VA
  • NPI 1073222311
  NPD Authorized official

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

{
    "created_epoch": "1472083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642118400000",
    "number": "1477009918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11198 LEE HWY STE D2",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220305009",
            "telephone_number": "703-783-2474",
            "fax_number": "703-783-7459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11198 LEE HWY STE D2",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220305009",
            "telephone_number": "703-783-2474",
            "fax_number": "703-783-7459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUSEFI",
        "first_name": "MELANIE",
        "name_prefix": "Dr.",
        "credential": "PMHNP-BC, DNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-25",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001231859",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024173640",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024176340",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1477009918",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@novapsychwellness.com",
            "affiliation": "N",
            "endpointDescription": "info@novapsychwellness.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "11198 Lee Hwy Ste D2",
            "city": "Fairfax",
            "state": "VA",
            "country_code": "US",
            "postal_code": "220305009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Elijah Blessings Young, BT
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• Your Urgent Healthcare LLC
• Angy Youssef, FNP
• Christie Nessim Youssef, D.O.
• Marina Adel Youssef, DPT
• Yanis Yousufzai, PHARMD
• Benson W. Yu, M.D.

• Psychiatric/Mental Health Nurse Practitioner in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2022; 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.