Active NPI
Mildred Bynoe Osborne, M.D.
- Psychiatry Physician
- Falls Church, VA
National Provider Identifier
1588707343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD037926
- Practice address
- 3302 Gallows Rd
Falls Church, VA 22042-3353 - Phone
- (703) 207-7100
- NPI assigned
- Feb 14, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 0101044394 | VA | |
| Psychiatry Physician | 2084P0800X | MD037926 | DC | Primary |
| Geriatric Psychiatry Physician | 2084P0805X | 0101044394 | VA |
Addresses
Primary practice location
3302 Gallows Rd
Falls Church, VA 22042-3353
Mailing address
3302 Gallows Rd
Falls Church, VA 22042-3353
Phone (703) 207-7100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0049-4504-2 | Medicaid | VA |
Other names 1
- Millie Bynoe Osborne
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 |
|---|---|---|---|
| MD037926 | DC | MD | Psychiatry Physician |
| 0101044394 | VA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arlington County Government Department of Managment & Finance | Past | Accepting new patients | |
| Arlington County Government Department of Managment & Finance | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Arlington, VA
- NPI 1043280415
-
dba ACFD Physician Group
- Emergency Medical Services (Emergency Medicine) Physician
- Arlington, VA
- NPI 1073104832
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292544000000",
"number": "1588707343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3302 GALLOWS RD",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "220423353",
"telephone_number": "703-207-7100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3302 GALLOWS RD",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "220423353",
"telephone_number": "703-207-7100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OSBORNE",
"first_name": "MILDRED",
"middle_name": "BYNOE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-14",
"last_updated": "2010-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "VA",
"license": "0101044394",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "DC",
"license": "MD037926",
"primary": true
},
{
"code": "2084P0805X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Geriatric Psychiatry",
"state": "VA",
"license": "0101044394",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0049-4504-2",
"state": "VA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MILLIE",
"last_name": "OSBORNE",
"middle_name": "BYNOE",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Falls Church, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.