David Ellis Hiatt, PHD, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

0101045403 Issued in VA

Practice address

6845 Elm Street
Suite 400
McLean, VA 22101-6028

Phone

(703) 821-7966

Fax

(703) 734-1441

NPI assigned

Apr 20, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 1, 2014 through Jan 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224633600000",
    "number": "1558588376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6845 ELM ST",
            "address_2": "SUITE 400",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221016007",
            "telephone_number": "703-821-7966",
            "fax_number": "703-734-1441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6845 ELM STREET",
            "address_2": "SUITE 400",
            "city": "MCLEAN",
            "state": "VA",
            "postal_code": "221016028",
            "telephone_number": "703-821-7966",
            "fax_number": "703-734-1441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIATT",
        "first_name": "DAVID",
        "middle_name": "ELLIS",
        "name_prefix": "Dr.",
        "credential": "PHD, MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-20",
        "last_updated": "2008-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101045403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Fernando Herrera, M.D.
• Nadia Peritsalis Herrera, PA
• Colleen Hetrick
• Triston Hewitt
• HH Reconstructive Surgery LLC
• Gina Ellen Hiatt, PH.D.
• Kim Hiday
• High Rise Mental Health PC
• Angie Katherine Hilarion Rodriguez
• Douglas Alexander Hill, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2008; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.