| Neta, Inc. | |
|
801 N Quincy St Ste 601 Arlington VA 22203-1729 | |
| (703) 812-4642 | |
| (703) 812-7926 |
| Full Name | Neta, Inc. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 801 N Quincy St Ste 601, Arlington, Virginia |
| Authorized Official Name and Position | Neel Vilas Nene (PRESIDENT) |
| Authorized Official Contact | 7032446215 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neta, Inc. 801 N Quincy St Ste 601 Arlington VA 22203-1729 Ph: (703) 812-4642 | Neta, Inc. 801 N Quincy St Ste 601 Arlington VA 22203-1729 Ph: (703) 812-4642 |
| NPI Number | 1134506520 |
|---|---|
| Provider Enumeration Date | 05/05/2015 |
| Last Update Date | 10/29/2020 |
| Certification Date | 10/29/2020 |
| Medicare PECOS PAC ID | 1658633136 |
|---|---|
| Medicare Enrollment ID | O20180416001401 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134506520 | NPI | - | NPPES |
| 0101257801 | Other | VA | VA LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Christine Lepoutre |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154392926 PECOS PAC ID: 2961489448 Enrollment ID: I20040701001572 |
| Provider Name | Simona Pick Both |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043246614 PECOS PAC ID: 7214982941 Enrollment ID: I20050316000121 |
| Provider Name | Cessar L Scott |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881852473 PECOS PAC ID: 6305034273 Enrollment ID: I20130201000048 |
| Provider Name | Neel Nene |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831403864 PECOS PAC ID: 4284878141 Enrollment ID: I20180416001500 |
| Provider Name | Samardeep K Randhawa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265723134 PECOS PAC ID: 8224268057 Enrollment ID: I20181012000082 |
| Provider Name | Natalia Brigham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992209993 PECOS PAC ID: 1850644238 Enrollment ID: I20181101000996 |
| Provider Name | Andrew Arthur Matz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194067868 PECOS PAC ID: 6709001753 Enrollment ID: I20181130000517 |
| Provider Name | Doan-thu Nguyen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326467051 PECOS PAC ID: 7113146028 Enrollment ID: I20200629002193 |
| Provider Name | Aisha R Mondal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649658709 PECOS PAC ID: 9133436751 Enrollment ID: I20200821000121 |
| Provider Name | Swati G Divakarla |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528402443 PECOS PAC ID: 8729364047 Enrollment ID: I20200826001448 |
| Provider Name | Yusuf Azim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275995797 PECOS PAC ID: 8022302702 Enrollment ID: I20200921000052 |
| Provider Name | Bao M Vo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962897991 PECOS PAC ID: 9234446899 Enrollment ID: I20200923001023 |
| Provider Name | Jonathan Fricke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285290734 PECOS PAC ID: 8224448568 Enrollment ID: I20201111000654 |
| Provider Name | Christina Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649889007 PECOS PAC ID: 6608292685 Enrollment ID: I20210111000278 |
| Provider Name | Elissa Gerfen Hauptman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508381260 PECOS PAC ID: 8325455025 Enrollment ID: I20210325000026 |
| Provider Name | Naeema N Hassan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457732505 PECOS PAC ID: 6204254915 Enrollment ID: I20210412001921 |
| Provider Name | Natalie Brooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144464652 PECOS PAC ID: 3870902513 Enrollment ID: I20210510000056 |
| Provider Name | Francisco Morin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902431257 PECOS PAC ID: 1355767211 Enrollment ID: I20210726001352 |
| Provider Name | Alexandria Snow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871267476 PECOS PAC ID: 8628474632 Enrollment ID: I20210831000017 |
| Provider Name | Andreia Sabau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992478341 PECOS PAC ID: 7517362668 Enrollment ID: I20210831000058 |
| Provider Name | Michael B Ang-rabanes |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255566790 PECOS PAC ID: 3274756564 Enrollment ID: I20211110001913 |
| Provider Name | Amy C Fehrmann |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942695291 PECOS PAC ID: 1456659770 Enrollment ID: I20220503002849 |
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