Active NPI
Nida Anjum
- Child & Adolescent Psychiatry Physician
- Richmond, VA
National Provider Identifier
1760118558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 0101285944
- Practice address
- 1308 Sherwood Ave
Richmond, VA 23220-1210 - Phone
- (804) 828-3137
- Fax
- (804) 828-9493
- NPI assigned
- Jul 25, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | 0101285944 | VA | Primary |
Addresses
Primary practice location
1308 Sherwood Ave
Richmond, VA 23220-1210
Mailing address
PO Box 980257
Richmond, VA 23298-0257
Phone (804) 828-9783
Other practice location 1
501 N 2nd St Fl 3
Richmond, VA 23219-1359
Phone (804) 828-9452
Other practice location 2
461 W Huron St
Pontiac, MI 48341-1601
Phone (248) 857-7200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251030005223 | VA | Order and Referring Only - Psychiatry | 1254820020 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101285944 | VA | MD | Child & Adolescent Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782691200000",
"number": "1760118558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 980257",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232980257",
"telephone_number": "804-828-9783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1308 SHERWOOD AVE",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232201210",
"telephone_number": "804-828-3137",
"fax_number": "804-828-9493"
}
],
"practiceLocations": [
{
"address_1": "501 N 2nd St Fl 3",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "VA",
"postal_code": "232191359",
"country_code": "US",
"telephone_number": "804-828-9452",
"fax_number": "804-828-7675",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "461 W Huron St",
"address_purpose": "LOCATION",
"city": "Pontiac",
"state": "MI",
"postal_code": "483411601",
"country_code": "US",
"telephone_number": "248-857-7200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANJUM",
"first_name": "NIDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-25",
"last_updated": "2026-06-29",
"certification_date": "2026-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "VA",
"license": "0101285944",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.