Organization
NORTHERN VIRGINIA PSYCHIATRIC GROUP PC
Active
Other names
Novapsy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD BAITHER PHD (EXECUTIVE ADMINISTRATOR)
(703) 698-5220
Entity
Organization
Contact information
Practice address
14901 BROSCHART RD, ROCKVILLE, MD 20850-3318
(703) 698-5220
(703) 573-2351
Mailing address
8500 EXECUTIVE PARK AVE, SUITE 200, FAIRFAX, VA 22031-2225
(703) 698-5220
(703) 573-2351
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4507888
AETNA
—
Enumeration date
06/09/2006
Last updated
11/10/2011
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