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Organization
MY PSYCHIATRIST LLC
Active
Organization
MY PSYCHIATRIST LLC
Active
Other names
My Psychiatrist PLC
Organization subpart
No
Provider details
NPI number
Authorized official
MADAN UPRETY (CEO)
(703) 596-4796
Entity
Organization
Contact information
Practice address
12359 SUNRISE VALLEY DR STE 320, RESTON, VA 20191-3463
(703) 596-4796
Mailing address
12359 SUNRISE VALLEY DR STE 320, RESTON, VA 20191-3463
(703) 596-4796
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
07/14/2010
Last updated
12/18/2024
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