Individual provider Active NPI

Bao Vo, D.O

  • Psychiatry Physician
  • Charlottesville, VA
National Provider Identifier
1962897991
Registry record updated Jun 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
0102205669 Issued in VA
Practice address
1215 Lee St
Box 801210
Charlottesville, VA 22908-0816
Phone
(434) 924-5314
Fax
(433) 243-4743
NPI assigned
Apr 6, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Psychiatry Physician 2084P0800X 0102205669 VA Primary

Addresses

Primary practice location

1215 Lee St
Box 801210
Charlottesville, VA 22908-0816

Mailing address

1215 Lee St
Box 801210
Charlottesville, VA 22908-0816
Phone (434) 924-5314

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC, MD3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20200918002244 VA Practitioner - Psychiatry 9234446899 Reassigns benefits to 1 organization
I20200923001023 DC Practitioner - Psychiatry 9234446899 Reassigns benefits to 1 organization
I20220819000183 MD Practitioner - Psychiatry 9234446899 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Edward Via Col of Osteo Medicine-Carolinas Campus, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psych Associates of Maryland LLCGroup PAC ID 3971550963, 151 clinicians

Practice addresses (Care Compare)

120 Sister Pierre Dr
Suite 403
Towson, MD 21204-7536
Phone (410) 823-6408

1447 York Rd
Suite 601
Lutherville, MD 21093-6034
Phone (410) 823-6408

1660 L St NW
Suite 430
Washington, DC 20036-5748
Phone (410) 823-6408

1729 King St
Suite 300
Alexandria, VA 22314-2742
Phone (667) 668-2566

198 Thomas Johnson Dr
Frederick, MD 21702-4398
Phone (410) 823-6408

4520 E W Hwy
Suite 775
Bethesda, MD 20814-0066
Phone (410) 823-6408

7700 E Parham Rd
Richmond, VA 23294-4301
Phone (703) 812-4642

801 N Quincy St
Suite 601
Arlington, VA 22203-1729
Phone (410) 823-6408

9891 Broken Land Pkwy
Suite 210
Columbia, MD 21046-3001
Phone (410) 823-6408

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
0102205669VAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Psych Associates of Maryland LLC Psychiatry CurrentSince Jun 1, 2022 Accepting new patients

Locations

4520 East West Hwy
Ste 775
Bethesda, MD 20814
Phone (240) 531-2799

9891 Broken Land Pkwy
Ste 210
Columbia, MD 21046
Phone (667) 220-7868

9715 Medical Center Dr
Ste 528
Rockville, MD 20850
Phone (301) 340-1355

1954 Greenspring Dr
Ste 530
Timonium, MD 21093
Phone (240) 441-9858

2331 York Rd
Ste 100
Timonium, MD 21093

120 Sister Pierre Dr
Ste 403
Towson, MD 21204

801 N Quincy St
Ste 601
Arlington, VA 22203
Phone (667) 220-8067

1602 Village Market Blvd SE
Ste 250
Leesburg, VA 20175
Phone (667) 222-0381

7700 E Parham Rd
Richmond, VA 23294
Phone (804) 289-4852

158 Front Royal Pike
Ste 206
Winchester, VA 22602
Phone (540) 304-6533

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1428278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591660800000",
    "number": "1962897991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 LEE ST",
            "address_2": "BOX 801210",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229080816",
            "telephone_number": "434-924-5314",
            "fax_number": "433-243-4743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 LEE ST",
            "address_2": "BOX 801210",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229080816",
            "telephone_number": "434-924-5314",
            "fax_number": "433-243-4743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VO",
        "first_name": "BAO",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-06",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0102205669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

Verify at the official NPI Registry.