Organization · Type 2 NPI

NMG Affiliate Practice I, LLC

Psychiatry Physician · Manassas, VA

NPI number 1659770774 Active

Practice location

8680 Hospital Way
Manassas, VA 20110-4287

Call (703) 369-8464 Map

Fax (703) 369-8467

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Specialties and licenses

Taxonomy	Code	License
Psychologist	103T00000X	None listed
Clinical Social Worker	1041C0700X	None listed
Psychiatry Physician Primary	2084P0800X	None listed
Child & Adolescent Psychiatry Physician	2084P0804X	None listed

Psychiatry Physician: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic la…

21 other providers at this address

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NPI record

NPI: 1659770774
Entity type: Organization (Type 2)
Issued: Aug 14, 2014
Last updated: Sep 28, 2016
Status: Active

Other names

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Novant Health Uva Health System Northern Virginia Psychiatric Associa · doing business as

Authorized official

Geoffrey K. Gardner
VP of Finance
(703) 369-8464

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1659770774

NMG Affiliate Practice I, LLC's National Provider Identifier is 1659770774, issued on Aug 14, 2014. The primary taxonomy on file is Psychiatry Physician (2084P0800X), and the practice location is in Manassas, VA. The record was last updated on Sep 28, 2016.