Columbia Associates In Psychiatry Pc | |
2501 N Glebe Rd Suite 303 Arlington VA 22207-3558 | |
(703) 841-1290 | |
(703) 841-1315 |
Full Name | Columbia Associates In Psychiatry Pc |
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Speciality | Counselor |
Location | 2501 N Glebe Rd, Arlington, Virginia |
Authorized Official Name and Position | Gary Spivack (OWNER) |
Authorized Official Contact | 7038411290 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Columbia Associates In Psychiatry Pc 2501 N Glebe Rd Suite 303 Arlington VA 22207-3558 Ph: (703) 841-1290 | Columbia Associates In Psychiatry Pc 2501 N Glebe Rd Suite 303 Arlington VA 22207-3558 Ph: (703) 841-1290 |
NPI Number | 1699012930 |
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Provider Enumeration Date | 01/07/2013 |
Last Update Date | 11/15/2023 |
Certification Date | 11/15/2023 |
Medicare PECOS PAC ID | 7113165739 |
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Medicare Enrollment ID | O20130521000309 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699012930 | NPI | - | NPPES |
Provider Name | Beverly A Jones |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1235145343 PECOS PAC ID: 8325021454 Enrollment ID: I20040610000444 |
Provider Name | Derwin Harris |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1952403115 PECOS PAC ID: 6507868619 Enrollment ID: I20070202000112 |
Provider Name | Gary Robert Spivack |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1457362576 PECOS PAC ID: 2769660802 Enrollment ID: I20110621000060 |
Provider Name | Miriam Hojjat |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124341888 PECOS PAC ID: 0345483053 Enrollment ID: I20130828000641 |
Provider Name | Christina Rinderle |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093055477 PECOS PAC ID: 5991924441 Enrollment ID: I20140915001536 |
Provider Name | Dana D Mohl |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427496496 PECOS PAC ID: 8729221122 Enrollment ID: I20150211001396 |
Provider Name | James M Harper |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1467765594 PECOS PAC ID: 9436455433 Enrollment ID: I20160316001526 |
Provider Name | Christine Pletkova |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1831108885 PECOS PAC ID: 9739102070 Enrollment ID: I20160729000093 |
Provider Name | Linda Ruth Ojo |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1831432038 PECOS PAC ID: 9234435827 Enrollment ID: I20160824002459 |
Provider Name | Kory Bradley |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1518243682 PECOS PAC ID: 2365730736 Enrollment ID: I20161018001738 |
Provider Name | Ifeanyi Olele |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1194132407 PECOS PAC ID: 9133412794 Enrollment ID: I20170802000651 |
Provider Name | Christabel Lartey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962762237 PECOS PAC ID: 4688928484 Enrollment ID: I20181114001843 |
Provider Name | Sydonie Bongam |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881169415 PECOS PAC ID: 9638080252 Enrollment ID: I20190219000021 |
Provider Name | Edmond Rostand Nsheuko |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447732441 PECOS PAC ID: 2163760067 Enrollment ID: I20190220000350 |
Provider Name | Samina Zaidi |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1154385391 PECOS PAC ID: 4385769769 Enrollment ID: I20200108000016 |
Provider Name | Gloria Osuruaka |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1215391677 PECOS PAC ID: 8921428368 Enrollment ID: I20201023000411 |
Provider Name | Catherine N Ben-agu |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801402508 PECOS PAC ID: 8820408891 Enrollment ID: I20201103000037 |
Provider Name | Bhagwan Bahroo |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1447355417 PECOS PAC ID: 8325270473 Enrollment ID: I20210203000068 |
Provider Name | Sirish Kant Suresh Mulpur |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1912364563 PECOS PAC ID: 3870922644 Enrollment ID: I20210209001143 |
Provider Name | Maria Chibuzo Anaghara |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1518340363 PECOS PAC ID: 7214269307 Enrollment ID: I20210226000151 |
Provider Name | Mary Warrah Tarawalie |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528614245 PECOS PAC ID: 1951718386 Enrollment ID: I20210331000016 |
Provider Name | Krupa Nataraj |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1720511272 PECOS PAC ID: 7719382670 Enrollment ID: I20210816004067 |
Provider Name | Tsige Alemu Woldemichael |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285306951 PECOS PAC ID: 4880083369 Enrollment ID: I20211124001402 |
Provider Name | Bose Ajayi |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043882533 PECOS PAC ID: 8325430580 Enrollment ID: I20220120000110 |
Provider Name | Althea I Miller-umar |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134885007 PECOS PAC ID: 8224421532 Enrollment ID: I20220209002106 |
Provider Name | Kasie Michelle Cassell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114306719 PECOS PAC ID: 2365836616 Enrollment ID: I20220302000898 |
Provider Name | Felicia Aboagye |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003450412 PECOS PAC ID: 8628479128 Enrollment ID: I20220309001361 |
Provider Name | Ngozi B Amadi-obi |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437799582 PECOS PAC ID: 4082009014 Enrollment ID: I20220309002717 |
Provider Name | Elia Tessera |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013682681 PECOS PAC ID: 8628463122 Enrollment ID: I20220321000504 |
Provider Name | Laura Michelle Lambert |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1528354750 PECOS PAC ID: 4183019524 Enrollment ID: I20220321002389 |
Provider Name | Ali Aziz |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1619918562 PECOS PAC ID: 9436161395 Enrollment ID: I20220322001103 |
Provider Name | Casie Young |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144973066 PECOS PAC ID: 7719372994 Enrollment ID: I20220325000874 |
Provider Name | Coleen Harbin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114591690 PECOS PAC ID: 1153717152 Enrollment ID: I20220330002492 |
Provider Name | Peace O Peters |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043965247 PECOS PAC ID: 5496141376 Enrollment ID: I20220331002584 |
Provider Name | Teras G. Flowers |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245838945 PECOS PAC ID: 0446647655 Enrollment ID: I20220418001269 |
Provider Name | Rhea Mitchell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215597232 PECOS PAC ID: 7113314956 Enrollment ID: I20220427000041 |
Provider Name | Wendy Sittner |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1861742835 PECOS PAC ID: 2961899331 Enrollment ID: I20220504000576 |
Provider Name | Sana Kamal |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1811237324 PECOS PAC ID: 6204191315 Enrollment ID: I20220504001413 |
Provider Name | Veronique K Kom |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255092698 PECOS PAC ID: 9739566043 Enrollment ID: I20220506000053 |
Provider Name | Yasmin Undeland |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376505073 PECOS PAC ID: 0042697617 Enrollment ID: I20220520000239 |
Provider Name | Mohammad A Ghairatmal |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1679824239 PECOS PAC ID: 2567758972 Enrollment ID: I20220622000439 |
Provider Name | Lesley Lee |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1063581742 PECOS PAC ID: 1658401955 Enrollment ID: I20220625000313 |
Provider Name | Sahar Zaidi |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1811358476 PECOS PAC ID: 8325385552 Enrollment ID: I20220909000167 |
Provider Name | Lisa Lamour |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1457875718 PECOS PAC ID: 5991040966 Enrollment ID: I20221024000416 |
Provider Name | Nicole Ly |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1336867589 PECOS PAC ID: 5597135111 Enrollment ID: I20221222002617 |
Provider Name | Jessica Schafer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013617828 PECOS PAC ID: 4587038955 Enrollment ID: I20230411000301 |
Provider Name | Devon Lawrence |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1093004764 PECOS PAC ID: 1456682301 Enrollment ID: I20230502002557 |
Provider Name | Yufei Chen |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1609106988 PECOS PAC ID: 1951767664 Enrollment ID: I20230523001969 |
Provider Name | Rashid Jalloh |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1306109996 PECOS PAC ID: 1557724572 Enrollment ID: I20230823004327 |
Provider Name | Augustine Ahenkorah |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376118182 PECOS PAC ID: 5597119800 Enrollment ID: I20230920002238 |
Provider Name | Brenda Bandong |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1669150363 PECOS PAC ID: 4486017928 Enrollment ID: I20230929000093 |
Provider Name | Sheherazade Smith |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1831877299 PECOS PAC ID: 4880048495 Enrollment ID: I20231002002402 |
Provider Name | Letitia Conrad |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1760882799 PECOS PAC ID: 2466737374 Enrollment ID: I20231003001096 |
Provider Name | Maureen Diezman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598541856 PECOS PAC ID: 8820443989 Enrollment ID: I20231010000023 |
Provider Name | Whitney Campbell |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1477143089 PECOS PAC ID: 4587019492 Enrollment ID: I20231012003109 |
Provider Name | April Williams Jackson |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1962507525 PECOS PAC ID: 5698122927 Enrollment ID: I20231108002250 |
Provider Name | David Riley |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1073169660 PECOS PAC ID: 3476900317 Enrollment ID: I20231115002353 |
Provider Name | Jennifer Carol Street |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710475694 PECOS PAC ID: 1557715729 Enrollment ID: I20231118000047 |
Provider Name | Marc Levender |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1912698507 PECOS PAC ID: 3274996814 Enrollment ID: I20231118000316 |
Provider Name | Anita Marade |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1699073270 PECOS PAC ID: 0749225944 Enrollment ID: I20231202000743 |
Provider Name | Niah Richardson |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1881288413 PECOS PAC ID: 1658728381 Enrollment ID: I20240104003575 |
Provider Name | Israil Steen |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1487127056 PECOS PAC ID: 6709264922 Enrollment ID: I20240109000021 |
Provider Name | Jennifer Lynn Schalow |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1043545700 PECOS PAC ID: 8527410646 Enrollment ID: I20240113000764 |
Provider Name | Shelby Rucker |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1568235190 PECOS PAC ID: 6507219813 Enrollment ID: I20240201003908 |
Provider Name | Elaine Kim |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1033982210 PECOS PAC ID: 6002266632 Enrollment ID: I20240219003857 |
Provider Name | Bryonna Douglas |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265175202 PECOS PAC ID: 0446605380 Enrollment ID: I20240223003160 |
Provider Name | Arleen Anderson |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1093432197 PECOS PAC ID: 1153766167 Enrollment ID: I20240229002911 |
Provider Name | Ingrid Middleton |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1750695714 PECOS PAC ID: 2769789023 Enrollment ID: I20240410000345 |
Provider Name | Caitlyn Elizabeth Nicholas |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1053079277 PECOS PAC ID: 9739528308 Enrollment ID: I20240416000125 |
Provider Name | Rebecca Morrill |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639957301 PECOS PAC ID: 3678912623 Enrollment ID: I20240429002625 |
Provider Name | Meghan Linehan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538803135 PECOS PAC ID: 0749637411 Enrollment ID: I20240521004110 |
Provider Name | Nancy Jean Podbesek |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1871289439 PECOS PAC ID: 9335581636 Enrollment ID: I20240531000017 |
Provider Name | Diamond Nicole Clark |
---|---|
Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1275108631 PECOS PAC ID: 7214379544 Enrollment ID: I20240531001236 |
Provider Name | Alexis Evans |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1982026910 PECOS PAC ID: 6204378599 Enrollment ID: I20240601000013 |
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