DC Psychiatry LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

DC PSYCHIATRY LLC

Doing business as

DC Psychiatry LLC

Practice address

1800 Town Center Dr Ste 420
Reston, VA 20190-3240

Phone

(703) 869-5361

Fax

(703) 957-3625

NPI assigned

Dec 23, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Cordelia Nieketien-Tawari, DNP, Aprn-BC, LNP, DNP APRN-BC LNP

Title

Ceo

Phone

(703) 869-5361

Specialties & licenses 5

Addresses

Other names 1

• DC Psychiatry LLC Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cordelia Nieketien-Tawari, DNP, APRN-BC. LNP

  • Family Nurse Practitioner
  • Reston, VA
  • NPI 1194827139
  NPD

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

{
    "created_epoch": "1734912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734912000000",
    "number": "1649088527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 710015",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201710015",
            "telephone_number": "703-869-5361",
            "fax_number": "703-957-3625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 TOWN CENTER DR STE 420",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201903240",
            "telephone_number": "703-869-5361",
            "fax_number": "703-957-3625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DC PSYCHIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-23",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A",
        "authorized_official_last_name": "DNP, APRN-BC, LNP",
        "authorized_official_first_name": "CORDELIA",
        "authorized_official_middle_name": "NIEKETIEN-TAWARI,",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "703-869-5361",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP APRN-BC LNP"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DC Psychiatry LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lynn M David, MD
• Maria Davidson
• Oksana V. Davis
• Dawn D Gammon, Inc
• Melanie Roselyne Dayan, MA, LPC-R, SOTP
• Jacques De Broekert
• Susan Linard De Bullet, NP
• Jasmine Dearborn, LPC
• Catherine W Deck, PA-C
• Larisa Perez Degraffenreid, L.C.S.W.

• 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 Dec 23, 2024; 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.