| Capital Area Psychiatric Svc. | |
|
2235 Cedar Ln Ste 302 Vienna VA 22182-5247 | |
| (703) 889-5406 | |
| (703) 430-9785 |
| Full Name | Capital Area Psychiatric Svc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 2235 Cedar Ln Ste 302, Vienna, Virginia |
| Authorized Official Name and Position | Hemanjani Gonchigar (CEO) |
| Authorized Official Contact | 3014616961 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Capital Area Psychiatric Svc. 44121 Lessburg Pike Ste 250 Ashburn VA 20147-5674 Ph: (703) 831-4207 | Capital Area Psychiatric Svc. 2235 Cedar Ln Ste 302 Vienna VA 22182-5247 Ph: (703) 889-5406 |
| NPI Number | 1962678789 |
|---|---|
| Provider Enumeration Date | 05/01/2008 |
| Last Update Date | 11/08/2023 |
| Medicare PECOS PAC ID | 0446276919 |
|---|---|
| Medicare Enrollment ID | O20051024000697 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962678789 | NPI | - | NPPES |
| 663910100 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Hemanjani Gonchigar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043232945 PECOS PAC ID: 3779509252 Enrollment ID: I20140311000697 |
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