Active NPI
Michael R. Hryvniak, M.D.
- Psychiatry Physician
- Fairfax, VA
National Provider Identifier
1568533693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 0101039400
- Practice address
- 4001 Fair Ridge Dr Ste 305
Fairfax, VA 22033-2917 - Phone
- (703) 448-3133
- Fax
- (703) 218-1824
- NPI assigned
- Nov 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 0101039400 | VA | Primary |
Addresses
Primary practice location
4001 Fair Ridge Dr Ste 305
Fairfax, VA 22033-2917
Mailing address
4001 Fair Ridge Dr Ste 305
Fairfax, VA 22033-2917
Phone (703) 448-3133
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101039400 | VA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1255824000000",
"number": "1568533693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4001 FAIR RIDGE DR STE 305",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220332917",
"telephone_number": "703-448-3133",
"fax_number": "703-218-1824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4001 FAIR RIDGE DR STE 305",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220332917",
"telephone_number": "703-448-3133",
"fax_number": "703-218-1824"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HRYVNIAK",
"first_name": "MICHAEL",
"middle_name": "R.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-12",
"last_updated": "2009-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "VA",
"license": "0101039400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.