Grace Psychiatry, PLLC

Primary specialty

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

Legal business name

GRACE PSYCHIATRY, PLLC

Practice address

8200 Greensboro Dr Ste 900
MC Lean, VA 22102-4931

Phone

(703) 665-9613

NPI assigned

Feb 22, 2023

Organization subpart

No

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

Authorized official

Name

Natasha Olliver, PA-C

Title

Physician Assistant

Phone

(505) 205-6397

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1677024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677024000000",
    "number": "1871291518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 GREENSBORO DR STE 900",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221024931",
            "telephone_number": "703-665-9613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 GREENSBORO DR STE 900",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221024931",
            "telephone_number": "703-665-9613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE PSYCHIATRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-22",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A",
        "authorized_official_last_name": "OLLIVER",
        "authorized_official_first_name": "NATASHA",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT",
        "authorized_official_telephone_number": "505-205-6397",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Anne Stubben Gorelik, M.D.
• Barry Charles Gorman, M.D.
• Susan Lynn Gorman, MSW,LCSW
• Kevin Gould
• Beth Gouse, PH.D.
• Grace Reproductive Health Services (Meadow Reproductive Health and Wellness)
• Kyle Graham, DC
• Granato Group, Inc. (Granato Counseling Services)
• Laura A Granato, PHD
• Eldesia Labren Granger, MD

• Mental Health Clinic/Center (Including Community Mental Health Center) in McLean, VA
• Providers in McLean, 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 Feb 22, 2023; 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.