| Tms Neurohealth Centers, Ashburn, Llc | |
|
44355 Premier Plz Suite 120 Ashburn VA 20147-5049 | |
| (703) 356-1568 | |
| Not Available |
| Full Name | Tms Neurohealth Centers, Ashburn, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 44355 Premier Plz, Ashburn, Virginia |
| Authorized Official Name and Position | Kelli Cefalu (REGIONAL MANAGER) |
| Authorized Official Contact | 5713591171 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tms Neurohealth Centers, Ashburn, Llc 8405 Greensboro Dr Ste 120 Suite 120 Mc Lean VA 22102-5106 Ph: (703) 356-1568 | Tms Neurohealth Centers, Ashburn, Llc 44355 Premier Plz Suite 120 Ashburn VA 20147-5049 Ph: (703) 356-1568 |
| NPI Number | 1770955304 |
|---|---|
| Provider Enumeration Date | 10/22/2015 |
| Last Update Date | 10/22/2015 |
| Medicare PECOS PAC ID | 3375848336 |
|---|---|
| Medicare Enrollment ID | O20160229002495 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770955304 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Madan Uprety |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528109758 PECOS PAC ID: 6406888163 Enrollment ID: I20140616000116 |
| Provider Name | Geoffrey G Grammer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528141017 PECOS PAC ID: 8426375825 Enrollment ID: I20170425002013 |
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