Nova Psychiatric Services PC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

0101236600 Issued in VA

Legal business name

NOVA PSYCHIATRIC SERVICES PC

Practice address

21351 Gentry Dr
Suite 250
Sterling, VA 20166-8510

Phone

(703) 444-7792

Fax

(703) 421-9946

NPI assigned

Jul 18, 2006

Organization subpart

No

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

Authorized official

Name

Huma Khalil, MD

Title

President

Phone

(703) 444-7792

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221436800000",
    "number": "1609894286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21351 GENTRY DR",
            "address_2": "SUITE 250",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201668510",
            "telephone_number": "703-444-7792",
            "fax_number": "703-421-9946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21351 GENTRY DR",
            "address_2": "SUITE 250",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201668510",
            "telephone_number": "703-444-7792",
            "fax_number": "703-421-9946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA PSYCHIATRIC SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2008-09-15",
        "status": "A",
        "authorized_official_last_name": "KHALIL",
        "authorized_official_first_name": "HUMA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-444-7792",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101236600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.