Organization Active NPI

Neuronest Psychiatry

  • Psychiatric/Mental Health Nurse Practitioner
  • Manassas, VA
National Provider Identifier
1922992411
Registry record updated Jun 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
NEURONEST PSYCHIATRY
Practice address
9720 Capital CT Ste 301
Manassas, VA 20110-2051
Phone
(703) 634-3540
NPI assigned
Jun 7, 2025
Last updated
Jun 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2025

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

Authorized official

Name
Gifty Awnanya
Title
Owner
Phone
(703) 634-3540

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU Primary

Addresses

Primary practice location

9720 Capital CT Ste 301
Manassas, VA 20110-2051

Mailing address

9720 Capital CT Ste 301
Manassas, VA 20110-2051
Phone (703) 634-3540

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251010000283 VA Part B Supplier - Clinic/Group Practice 1759881030 Receives reassigned benefits from 1 practitioner
Practice locations: Manassas, VA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1749254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749254400000",
    "number": "1922992411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9720 CAPITAL CT STE 301",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201102051",
            "telephone_number": "703-634-3540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9720 CAPITAL CT STE 301",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201102051",
            "telephone_number": "703-634-3540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEURONEST PSYCHIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-07",
        "last_updated": "2025-06-07",
        "certification_date": "2025-06-07",
        "status": "A",
        "authorized_official_last_name": "AWNANYA",
        "authorized_official_first_name": "GIFTY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-634-3540"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manassas, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2025; 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.