Individual provider Active NPI

Farooq Mohyuddin, M.D.

  • Psychiatry Physician
  • Alexandria, VA
National Provider Identifier
1992036800
Registry record updated Sep 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
0101234575 Issued in VA
Practice address
1000 Duke St
Alexandria, VA 22314-3512
Phone
(703) 625-8444
Fax
(703) 683-0431
NPI assigned
Jan 18, 2010
Last updated
Sep 17, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 0101234575 VA Primary

Addresses

Primary practice location

1000 Duke St
Alexandria, VA 22314-3512

Mailing address

1000 Duke St
Alexandria, VA 22314-3512
Phone (703) 625-8444

Other practice location 1

411 1/2 N Washington St
Alexandria, VA 22314-2311
Phone (703) 625-8444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jun 9, 2025 through Jun 9, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101234575VAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral and Psychiatric Service LLC Psychiatry PastSince Sep 23, 2021 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1263772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631836800000",
    "number": "1992036800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 DUKE ST",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223143512",
            "telephone_number": "703-625-8444",
            "fax_number": "703-683-0431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 DUKE ST",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223143512",
            "telephone_number": "703-625-8444",
            "fax_number": "703-683-0431"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "411 1/2 N Washington St",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223142311",
            "country_code": "US",
            "telephone_number": "703-625-8444",
            "fax_number": "703-683-0431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOHYUDDIN",
        "first_name": "FAROOQ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-01-18",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101234575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

Verify at the official NPI Registry.