Charles Cameron Titus, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

0101031745 Issued in VA

Practice address

1810 Michael Faraday Drive
Suite 204
Reston, VA 20190-5330

Phone

(703) 437-5575

Fax

(703) 435-1704

NPI assigned

Aug 29, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Fairfax County, Virginia

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fairfax, VA
  • NPI 1154356244
  NPD (past)
• James B. Blitch, Jr., M.D, PC

  • Psychiatry Physician
  • Reston, VA
  • NPI 1912269598
  NPD (past)

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

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188345600000",
    "number": "1639363013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 MICHAEL FARADAY DRIVE",
            "address_2": "SUITE 204",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201905330",
            "telephone_number": "703-437-5575",
            "fax_number": "703-435-1704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 MICHAEL FARADAY DRIVE",
            "address_2": "SUITE 204",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201905330",
            "telephone_number": "703-437-5575",
            "fax_number": "703-435-1704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TITUS",
        "first_name": "CHARLES",
        "middle_name": "CAMERON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-29",
        "last_updated": "2007-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101031745",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "076151",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Candace S. Thurston, M.D.
• Marissa G Tibbetts, DPT
• Emma Maria Tierney
• Susan Hanley Tilton, MD
• Stephane Tisseront, DDS, MS
• Mingliarti Tjahjana, M.D.
• TLC the Laser Center (Northeast) Inc.
• Jamieson Tobey, LPTA
• Lindsay R Tom, PA
• Quang That Ton, PT, DPT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2007; 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.