Thomas M. Fogarty MD PC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

THOMAS M. FOGARTY MD PC

Practice address

10369 Democracy LN
Suite a
Fairfax, VA 22030-2548

Phone

(703) 383-6933

Fax

(703) 383-6936

NPI assigned

Nov 14, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Nancy Donahue

Title

Office Manager

Phone

(703) 383-6933

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Locations

Practitioners 1

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

• Thomas Michael Fogarty, M.D.

  • Psychiatry Physician
  • Fairfax, VA
  • NPI 1760527469

  DC

  Medicare reassignment NPD

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

{
    "created_epoch": "1321228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321228800000",
    "number": "1750668109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10369 DEMOCRACY LN",
            "address_2": "SUITE A",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302548",
            "telephone_number": "703-383-6933",
            "fax_number": "703-383-6936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10369 DEMOCRACY LN",
            "address_2": "SUITE A",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302548",
            "telephone_number": "703-383-6933",
            "fax_number": "703-383-6936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS M. FOGARTY MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-14",
        "last_updated": "2011-11-14",
        "status": "A",
        "authorized_official_last_name": "DONAHUE",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "OFFICE  MANAGER",
        "authorized_official_telephone_number": "703-383-6933",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Therapy Services at the Square, PLLC
• Taryn C Thibeault, FNP
• Kathleen Thibodeau
• Laura Kristin Thieman, MSW, LCSW
• Thomas G Vaccaro DDS,PC
• Abigail Thomas, MSW
• Chyree Thomas, MD
• Ernestine Augusta Thomas, M.D.
• Glenda Thomas, DNP-FNP
• Jade Angelyca Thomas, LCSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2011; 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.