Loudoun Psychiatry Group LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

LOUDOUN PSYCHIATRY GROUP LLC

Practice address

22611 Markey CT Ste 114
Sterling, VA 20166-6925

Phone

(703) 249-4828

NPI assigned

Jun 8, 2023

Last updated

Jun 8, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Mark Parker, PMHNP-BCNPI 1710214721

Title

Owner

Phone

(703) 249-4828

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark Anthony Parker, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Sterling, VA
  • NPI 1710214721
  Medicare reassignment NPD Authorized official
• Ashly McLean, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Herndon, VA
  • NPI 1891660197
  NPD

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

{
    "created_epoch": "1686182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686182400000",
    "number": "1740974914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22611 MARKEY CT STE 114",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201666925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22611 MARKEY CT STE 114",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201666925",
            "telephone_number": "703-249-4828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUDOUN PSYCHIATRY GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-08",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-249-4828",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Loudoun Medical Group, PC (KPC Diagnostics)
• Loudoun Medical Group, PC (Loudoun OB/GYN & Midwives)
• Loudoun Medical Group, PC (The Iyer Clinic)
• Loudoun Periodontics, PLLC
• Loudoun Pharmacy
• Loudoun Psychotherapy and Counseling Services LLC
• Loudoun Sports Therapy Center, LLC
• Heather C Lovenbury
• Lovingly Home Care Inc
• Theolyn Loy, P.T.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Sterling, VA
• Providers in Sterling, VA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.