NPIMap

Organization Active NPI

Virginia Integrative Psychiatry, PC

  • Psychiatry Physician
  • Fredericksburg, VA
National Provider Identifier
1992256135
Registry record updated Oct 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
0102202111 Issued in VA
Legal business name
VIRGINIA INTEGRATIVE PSYCHIATRY, PC
Practice address
4900 Hood Dr
Fredericksburg, VA 22408-2651
Phone
(540) 479-1319
Fax
(540) 479-1326
NPI assigned
Oct 24, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2016

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

Authorized official

Name
Sudhir Nagaraja, DONPI 1306054325
Title
President
Phone
(540) 479-1319

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084P0800X 0102202111 VA Primary

Addresses

Primary practice location

4900 Hood Dr
Fredericksburg, VA 22408-2651

Mailing address

4900 Hood Dr
Fredericksburg, VA 22408-2651
Phone (540) 479-1319

National Provider Directory

National Provider Directory

Locations

4900 Hood Dr
Fredericksburg, VA 22408
Phone (540) 479-1319

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1477267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477267200000",
    "number": "1992256135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 HOOD DR",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224082651",
            "telephone_number": "540-479-1319",
            "fax_number": "540-479-1326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 HOOD DR",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224082651",
            "telephone_number": "540-479-1319",
            "fax_number": "540-479-1326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA INTEGRATIVE PSYCHIATRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-24",
        "last_updated": "2016-10-24",
        "status": "A",
        "authorized_official_last_name": "NAGARAJA",
        "authorized_official_first_name": "SUDHIR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "540-479-1319",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0102202111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2016; 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.