Holystick,llc
NPI 1619506300 · Psychiatric/Mental Health Nurse Practitioner · Fairfax, VA
Holystick,llc is a Psychiatric/Mental Health Nurse Practitioner organization in Fairfax, VA (NPI 1619506300).
Provider details
- NPI number
- 1619506300
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Hanul Jung, Ceo(240) 945-8525
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Primary Care Nurse Practitioner363LP2300X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Acupuncture
- Former legal business name
- Holystick,llc
- Doing business as
- Medical Facility
Additional practice locations (1)
- 15200 Shady Grove RdRockville, MD 20850-3218Phone: (240) 945-8525Fax: (240) 901-4515
Registry dates
- Enumerated
- 2020-04-03
- Last updated
- 2026-01-18
- Certified
- 2026-01-18
Frequently asked questions
- What is Holystick,llc's NPI number?
- Holystick,llc's National Provider Identifier (NPI) is 1619506300, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Holystick,llc?
- Holystick,llc is classified in the NPPES registry as Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Holystick,llc located?
- Holystick,llc's practice location on file with NPPES is 8550 Route 29 Ste 720, Fairfax, VA 22031-1531.
- What is Holystick,llc's phone number?
- The practice phone number listed in the NPPES registry for Holystick,llc is (703) 981-5085.
- Who is the authorized official for Holystick,llc?
- The authorized official listed on Holystick,llc's NPPES record is Hanul Jung, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Holystick,llc's NPI active?
- Yes — Holystick,llc's NPI (1619506300) is active in the NPPES registry as of the last update on 2026-01-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.