| My Psychiatrist, Llc | |
|
12359 Sunrise Valley Dr Ste 320 Reston VA 20191-3463 | |
| (703) 596-4796 | |
| Not Available |
| Full Name | My Psychiatrist, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 12359 Sunrise Valley Dr Ste 320, Reston, Virginia |
| Authorized Official Name and Position | Madan Kumar Uprety (PRESIDENT) |
| Authorized Official Contact | 7034964796 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| My Psychiatrist, Llc 2558 Fox Hound Ct Herndon VA 20171-2996 Ph: () - | My Psychiatrist, Llc 12359 Sunrise Valley Dr Ste 320 Reston VA 20191-3463 Ph: (703) 596-4796 |
| NPI Number | 1295048684 |
|---|---|
| Provider Enumeration Date | 07/14/2010 |
| Last Update Date | 02/23/2022 |
| Certification Date | 02/23/2022 |
| Medicare PECOS PAC ID | 5597898981 |
|---|---|
| Medicare Enrollment ID | O20100805000650 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295048684 | NPI | - | NPPES |
| Provider Name | Madan Uprety |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528109758 PECOS PAC ID: 6406888163 Enrollment ID: I20090203000270 |
| Provider Name | John W Getz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750311304 PECOS PAC ID: 8123346491 Enrollment ID: I20150416001783 |
| Provider Name | Sanju Adhikari |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225441066 PECOS PAC ID: 7810115615 Enrollment ID: I20180809000414 |
| Provider Name | Jeffrey W Martens |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1467726802 PECOS PAC ID: 0244645828 Enrollment ID: I20210211001997 |
| Provider Name | Kathleen R Martens |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1659641215 PECOS PAC ID: 1254746183 Enrollment ID: I20210226000599 |
| Provider Name | Meira Mahmoud Yasin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558806745 PECOS PAC ID: 8921363581 Enrollment ID: I20210802002122 |
| Provider Name | Mukta Gautam-dhakal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275034837 PECOS PAC ID: 7517220759 Enrollment ID: I20210818000541 |
| Provider Name | Shanya Hardie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427631654 PECOS PAC ID: 7012312705 Enrollment ID: I20210818002046 |
| Provider Name | Joshua Niekranz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396407227 PECOS PAC ID: 9234520222 Enrollment ID: I20211230001006 |
| Provider Name | Jennifer Chow |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730178104 PECOS PAC ID: 3577459643 Enrollment ID: I20220629002792 |
| Provider Name | Heidi Anna Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831769231 PECOS PAC ID: 5395121842 Enrollment ID: I20221006001113 |
| Provider Name | Michele L Gunter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881629210 PECOS PAC ID: 1850373838 Enrollment ID: I20230711003358 |
| Provider Name | Michael Dwayne Whiteside |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033887054 PECOS PAC ID: 7618334467 Enrollment ID: I20230801001329 |
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