Individual provider Active NPI

Agnieszka Zorniak

  • Psychiatry Physician
  • Vienna, VA
National Provider Identifier
1598971004
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
0101229642 Issued in VA
Practice address
8308 Old Courthouse Rd Ste B
Vienna, VA 22182-3863
Phone
(703) 893-6077
Fax
(703) 893-2837
NPI assigned
May 15, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 0101229642 VA Primary

Addresses

Primary practice location

8308 Old Courthouse Rd Ste B
Vienna, VA 22182-3863

Mailing address

8308 Old Courthouse Rd Ste B
Vienna, VA 22182-3863

Medicare participation

Medicare enrollment files
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 Aug 11, 2017 through Aug 11, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0101229642VAMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598971004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8308 OLD COURTHOUSE RD STE B",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8308 OLD COURTHOUSE RD STE B",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823863",
            "telephone_number": "703-893-6077",
            "fax_number": "703-893-2837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZORNIAK",
        "first_name": "AGNIESZKA",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101229642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, VA

Sources for this page

Verify at the official NPI Registry.