Aizhan Tyndybekova Repchak, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

0101262713 Issued in VA

Practice address

3302 Gallows Rd
Falls Church, VA 22042-3353

Phone

(036) 453-1157

NPI assigned

Mar 19, 2012

Last updated

Jan 17, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Fairfax Mental Health & Wellness

  • Clinical Psychologist
  • Fairfax, VA
  • NPI 1699201749

  Psychiatry

  NPD (past)

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

{
    "created_epoch": "1332115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579219200000",
    "number": "1992070379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 538622",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303538622",
            "telephone_number": "910-338-2885",
            "fax_number": "864-626-0412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3302 GALLOWS RD",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220423353",
            "telephone_number": "036-453-1157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REPCHAK",
        "first_name": "AIZHAN",
        "middle_name": "TYNDYBEKOVA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-19",
        "last_updated": "2020-01-17",
        "certification_date": "2020-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101262713",
            "primary": true
        },
        {
            "code": "2084P0015X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychosomatic Medicine",
            "state": "VA",
            "license": "0101262713",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Howard D Reines, MD
• Michael P Reing, MSPT
• Susan J. Reing,, CRNA
• Jane Renfro, N.P.
• Sameera Nasser Rentia, M.D.
• Respire Physical Therapy LLC
• Retnuh Health LLC
• Kristina K Reyes
• Manuel Alexander Reyes, DO
• Mary Jane Reyes, MD

• Psychiatry Physician in Falls Church, VA
• Providers in Falls Church, VA by specialty
• Psychiatry Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2020; 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.