Fairfax Psychiatry & Behavioral Health Co.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

0101231724 Issued in VA

Legal business name

FAIRFAX PSYCHIATRY & BEHAVIORAL HEALTH CO.

Practice address

2915 Hunter Mill Rd
Suite 14
Oakton, VA 22124-1716

Phone

(571) 594-1755

Fax

(703) 218-8417

NPI assigned

Nov 15, 2012

Last updated

Nov 15, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Anil R Hinnaria, MDNPI 1588687263

Title

Director

Phone

(571) 594-1755

Specialties & licenses 1

Addresses

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, and the practitioner matching its NPPES authorized official.

• Anil R Hinnaria, MD

  • Psychiatry Physician
  • Fairfax, VA
  • NPI 1588687263

  DC

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352937600000",
    "number": "1477897445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12486 ROSE PATH CIR",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220336238",
            "telephone_number": "571-594-1755",
            "fax_number": "703-218-8417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2915 HUNTER MILL RD",
            "address_2": "SUITE 14",
            "city": "OAKTON",
            "state": "VA",
            "postal_code": "221241716",
            "telephone_number": "571-594-1755",
            "fax_number": "703-218-8417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRFAX PSYCHIATRY & BEHAVIORAL HEALTH CO.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-15",
        "last_updated": "2012-11-15",
        "status": "A",
        "authorized_official_last_name": "HINNARIA",
        "authorized_official_first_name": "ANIL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "571-594-1755",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101231724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Doe, MD
• Deborah Dorcus, PT
• Kristin Dunn, DPT
• Sarah Marlow Egresi
• Enjoyful Counseling, LLC
• Family Chiropractic Center of Oakton, PC
• Debra Ferguson, PH.D.
• Kathleen Ferguson, SLP
• Rachel Ferguson, LCSW, LMHP
• Food, Health, and Nutrition, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; 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.