Michael J Colston, MD

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

0101102701 Issued in VA

Practice address

3300 Gallows Rd
Falls Church, VA 22042-3307

Phone

(703) 776-3814

Fax

(703) 776-4018

NPI assigned

Jan 22, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Michael Jude Colston Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Sinnissippi Centers, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Rochelle, IL
  • NPI 1407143837
  NPD (past)

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

{
    "created_epoch": "1137888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604361600000",
    "number": "1679553853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1613 E HARTFORD AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532113037",
            "telephone_number": "847-688-4560",
            "fax_number": "847-688-2697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 GALLOWS RD",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220423307",
            "telephone_number": "703-776-3814",
            "fax_number": "703-776-4018"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3001 6th St",
            "address_2": "NAVHOSP Great Lakes Attn: Credentials Dept.",
            "address_purpose": "LOCATION",
            "city": "Great Lakes",
            "state": "IL",
            "postal_code": "600882833",
            "country_code": "US",
            "telephone_number": "847-688-4560 x3913",
            "fax_number": "847-688-2697",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLSTON",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-22",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101102701",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "VA",
            "license": "0101102701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHAEL",
            "last_name": "COLSTON",
            "middle_name": "JUDE",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Margaret Mary Collins, PAC
• Nancy Hoffmann Collins, BSN, MAED, WHNP-BC
• Patricia Alice Collins, RDN, LCPC
• Marcela Lucia Colon
• Andrew Colsky, MS
• Sara Combos
• Anthony J Comerota, M.D.
• Comfort Home Health Care, LLC
• Comfort Support Home, LLC
• Emelia Commey-Bissah, NP

• Child & Adolescent Psychiatry Physician in Falls Church, VA
• Providers in Falls Church, VA by specialty
• Child & Adolescent Psychiatry Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2020; 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.