Tavazon PC

Primary specialty

Psychiatric HospitalTaxonomy code 283Q00000X

License

0101238065 Issued in VA

Legal business name

TAVAZON PC

Practice address

2960 Sleepy Hollow Rd
Falls Church, VA 22044

Phone

(571) 455-8006

NPI assigned

Sep 29, 2012

Last updated

Apr 17, 2023By 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

Chris Kirby

Title

Administrator

Phone

(301) 651-3980

Specialties & licenses 3

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.

• Fatemeh Nematzadeh, M.D.

  • Child & Adolescent Psychiatry Physician
  • Sterling, VA
  • NPI 1487755120

  DC

  Medicare reassignment NPD

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

{
    "created_epoch": "1348876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681689600000",
    "number": "1598016545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46179 WESTLAKE DRIVE",
            "address_2": "SUITE 250",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "20165",
            "telephone_number": "571-455-8006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2960 SLEEPY HOLLOW RD",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "22044",
            "telephone_number": "571-455-8006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAVAZON PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-29",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-17",
        "status": "A",
        "authorized_official_last_name": "KIRBY",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "301-651-3980"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "VA",
            "license": "0101238065",
            "primary": true
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "VA",
            "license": "0101238065",
            "primary": false
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "VA",
            "license": "0101238065",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sundi Elaina Tate, AGNP-BC
• Susan Tate, NP
• Benjamin Drew Tator, NP
• Emily Fallon Tatum, PA
• Irene Alison Tavakoli, CRNA
• Jeanne Taylor-Gore, PTA
• Elaina B Taylor, LCSW
• Grant Taylor, RN
• Nikki Giovanni Taylor, CRNP
• Rebecca G Taylor

• Psychiatric Hospital in Falls Church, VA
• Providers in Falls Church, VA by specialty
• Psychiatric Hospital in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2023; 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.