| Northern Virginia Psychiatric Services Pllc | |
|
44075 Pipeline Plz Ste 220 Ashburn VA 20147-5890 | |
| (703) 554-5635 | |
| Not Available |
| Full Name | Northern Virginia Psychiatric Services Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 44075 Pipeline Plz Ste 220, Ashburn, Virginia |
| Authorized Official Name and Position | Audrey Rushin (OWNER/PROVIDER) |
| Authorized Official Contact | 7035545635 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northern Virginia Psychiatric Services Pllc 44075 Pipeline Plz Ste 220 Ashburn VA 20147-5890 Ph: (703) 283-9083 | Northern Virginia Psychiatric Services Pllc 44075 Pipeline Plz Ste 220 Ashburn VA 20147-5890 Ph: (703) 554-5635 |
| NPI Number | 1679286355 |
|---|---|
| Provider Enumeration Date | 12/28/2022 |
| Last Update Date | 01/12/2023 |
| Certification Date | 01/09/2023 |
| Medicare PECOS PAC ID | 0941672034 |
|---|---|
| Medicare Enrollment ID | O20230220000646 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679286355 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Audrey M Rushin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689727349 PECOS PAC ID: 2062490675 Enrollment ID: I20040710000028 |
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