Individual provider Active NPI

Nida Anjum

  • Child & Adolescent Psychiatry Physician
  • Richmond, VA
National Provider Identifier
1760118558
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
0101285944 Issued in VA
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

Updated by the provider on Jun 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251030005223 VA Order and Referring Only - PsychiatryPractitioner - Psychiatry 1254820020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0101285944VAMDChild & 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

Verify at the official NPI Registry.