| Shugarman Psychiatric & Counseling | |
|
901 N Washington St Ste 601 Alexandria VA 22314-1535 | |
| (703) 596-1024 | |
| (703) 596-1573 |
| Full Name | Shugarman Psychiatric & Counseling |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 901 N Washington St Ste 601, Alexandria, Virginia |
| Authorized Official Name and Position | Ryan S. Shugarman (BUSINESS OWNER) |
| Authorized Official Contact | 7035961024 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shugarman Psychiatric & Counseling 901 N. Washington St. Suite 601 Alexandria VA 22314-1535 Ph: (703) 596-1024 | Shugarman Psychiatric & Counseling 901 N Washington St Ste 601 Alexandria VA 22314-1535 Ph: (703) 596-1024 |
| NPI Number | 1740534130 |
|---|---|
| Provider Enumeration Date | 11/06/2012 |
| Last Update Date | 07/13/2022 |
| Certification Date | 07/13/2022 |
| Medicare PECOS PAC ID | 0042463739 |
|---|---|
| Medicare Enrollment ID | O20130108000080 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740534130 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084F0202X | Psychiatry & Neurology - Forensic Psychiatry | 0101245080 (Virginia) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 0101245080 (Virginia) | Primary |
| Provider Name | Ryan S Shugarman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477677284 PECOS PAC ID: 1658524392 Enrollment ID: I20130109000338 |
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