Organization Active NPI

Northern Virginia Psychiatric Services PLLC

  • Psychiatry Physician
  • Ashburn, VA
National Provider Identifier
1679286355
Registry record updated Jan 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
NORTHERN VIRGINIA PSYCHIATRIC SERVICES PLLC
Practice address
44075 Pipeline PLZ Ste 220
Ashburn, VA 20147-5890
Phone
(703) 554-5635
NPI assigned
Dec 28, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2023

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

Authorized official

Name
Audrey Rushin, MDNPI 1689727349
Title
Owner/Provider
Phone
(703) 554-5635

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

44075 Pipeline PLZ Ste 220
Ashburn, VA 20147-5890

Mailing address

44075 Pipeline PLZ Ste 220
Ashburn, VA 20147-5890
Phone (703) 283-9083

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20230220000646 VA Part B Supplier - Clinic/Group Practice 0941672034 Receives reassigned benefits from 1 practitioner
Practice locations: Reston, VA
O20250225000070 DC Part B Supplier - Clinic/Group Practice 0941672034 Receives reassigned benefits from 1 practitioner
Practice locations: Reston, VA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1672185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673481600000",
    "number": "1679286355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44075 PIPELINE PLZ STE 220",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201475890",
            "telephone_number": "703-283-9083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44075 PIPELINE PLZ STE 220",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201475890",
            "telephone_number": "703-554-5635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN VIRGINIA PSYCHIATRIC SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-28",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-09",
        "status": "A",
        "authorized_official_last_name": "RUSHIN",
        "authorized_official_first_name": "AUDREY",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "703-554-5635",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashburn, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.