| Novapsy | |
|
8500 Executive Park Ave Suite 200 Fairfax VA 22031-2225 | |
| (703) 698-5220 | |
| (703) 573-2351 |
| Full Name | Novapsy |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 8500 Executive Park Ave, Fairfax, Virginia |
| Authorized Official Name and Position | Siddharth Bajpai (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 7036985220 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Novapsy 8500 Executive Park Ave Suite 200 Fairfax VA 22031-2225 Ph: (703) 698-5220 | Novapsy 8500 Executive Park Ave Suite 200 Fairfax VA 22031-2225 Ph: (703) 698-5220 |
| NPI Number | 1396786141 |
|---|---|
| Provider Enumeration Date | 06/10/2006 |
| Last Update Date | 01/30/2024 |
| Certification Date | 01/30/2024 |
| Medicare PECOS PAC ID | 9830184852 |
|---|---|
| Medicare Enrollment ID | O20040419001117 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396786141 | NPI | - | NPPES |
| 403204700 | Medicaid | MD | |
| 1547 | Other | DC | CAREFIRST BC/BS |
| 4507888 | Other | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Diane Osborne |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013916402 PECOS PAC ID: 4486623279 Enrollment ID: I20040928001290 |
| Provider Name | Elizabeth Musil |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184619322 PECOS PAC ID: 1759337868 Enrollment ID: I20050322000902 |
| Provider Name | Carlos Collin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609850171 PECOS PAC ID: 2365487923 Enrollment ID: I20050623000572 |
| Provider Name | Robespierre M Del Rio |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518980788 PECOS PAC ID: 1456352863 Enrollment ID: I20070129000298 |
| Provider Name | Errol Segall |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407855190 PECOS PAC ID: 8022290543 Enrollment ID: I20110425000429 |
| Provider Name | Holly B Segal |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205111895 PECOS PAC ID: 7315160025 Enrollment ID: I20140528000725 |
| Provider Name | Tara Brown |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982603692 PECOS PAC ID: 4981913597 Enrollment ID: I20151022000744 |
| Provider Name | Siddharth Bajpai |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093945727 PECOS PAC ID: 2365682788 Enrollment ID: I20160830002407 |
| Provider Name | Charlotte Ayuk Nkem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912573577 PECOS PAC ID: 7911300447 Enrollment ID: I20210728001754 |
| Provider Name | Josephine Omari-yeboah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124792213 PECOS PAC ID: 2264819838 Enrollment ID: I20220520000111 |
| Provider Name | Kenesha T Hall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932682481 PECOS PAC ID: 9032594650 Enrollment ID: I20230123001766 |
| Provider Name | Anh Khoa Dieu Tran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407424716 PECOS PAC ID: 9133570245 Enrollment ID: I20240112001169 |
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