OrganizationActive
Adult and Geriatric Psychiatry
NPI 1386662971 · Psychiatry Physician · Lansdowne, VA
Provider details
- NPI number
- 1386662971
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Tara Mangat, President
- License
- 0101232595 (VA)
Practice location
19415 Deerfield Ave
Ste 310
Lansdowne, VA 20176-8452
Phone: (703) 858-0076
Fax: (703) 726-6394
Mailing address
Po Box 825
Ashburn, VA 20146-0825
Registry dates
- Enumerated
- 2006-07-18
- Last updated
- 2007-11-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.