Individual provider Active NPI

Stephen Kwaku Brobbey

  • Psychiatric/Mental Health Nurse Practitioner
  • Centreville, VA
National Provider Identifier
1497318406
Registry record updated Apr 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024177504 Issued in VA
Practice address
6805 Malton CT
Centreville, VA 20121-2557
Phone
(703) 944-6525
NPI assigned
Apr 16, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024177504 VA Primary

Addresses

Primary practice location

6805 Malton CT
Centreville, VA 20121-2557

Mailing address

6805 Malton CT
Centreville, VA 20121-2557

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190816000543 DC Practitioner - Nurse Practitioner 5092042846 Reassigns benefits to 4 organizations
I20190816000882 MD Practitioner - Nurse Practitioner 5092042846 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Connections Healthva LLCGroup PAC ID 5991241986, 19 clinicians

Practice addresses (Care Compare)

14554 Lee Rd
Chantilly, VA 20151-1775
Phone (703) 543-9948

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0024177504VAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
G & E Behavioral Health Services, LLC CurrentSince Jan 15, 2021 Accepting new patients
Virginia Hospital Center Physician Group, LLC CurrentSince Sep 6, 2022 Accepting new patients
G & E Behavioral Health Services, LLC CurrentSince Feb 14, 2021 Accepting new patients
Connections Healthva, LLC CurrentSince Dec 8, 2025 Accepting new patients
Virginia Hospital Center Physician Group LLC CurrentSince Sep 6, 2022 Accepting new patients
MDV Behavioral Health LLC Psychiatric/Mental Health CurrentSince Mar 25, 2024 Accepting new patients
Connections Healthva, LLC CurrentSince Dec 8, 2025 Accepting new patients
Virginia Hospital Center Physician Group, LLC Current Accepting new patients
Della Behavioral Health Services CurrentSince Aug 8, 2019 Accepting new patients

Locations

1205 S 7th Ave
Ste 105
Phoenix, AZ 85007
Phone (602) 416-7647

9841 Broken Land Pkwy
Ste 314
Columbia, MD 21046
Phone (410) 929-7225

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

14554 Lee Rd
Chantilly, VA 20151
Phone (703) 543-9948

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1555372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555372800000",
    "number": "1497318406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6805 MALTON CT",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201212557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6805 MALTON CT",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201212557",
            "telephone_number": "703-944-6525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROBBEY",
        "first_name": "STEPHEN",
        "middle_name": "KWAKU",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-16",
        "last_updated": "2019-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024177504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centreville, VA

Sources for this page

Verify at the official NPI Registry.