1831914241 NPI number — DR. MARY ANN BISHAY PSY.D.

Table of content: DR. MARY ANN BISHAY PSY.D. (NPI 1831914241)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1831914241 NPI number — DR. MARY ANN BISHAY PSY.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BISHAY
Provider First Name:
MARY ANN
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
PSY.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1831914241
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/25/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8401 MAYLAND DR STE A
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
RICHMOND
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
23294-4648
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
973-851-8967
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7921 JONES BRANCH DRIVE
Provider Second Line Business Practice Location Address:
SUITE 311
Provider Business Practice Location Address City Name:
MCLEAN
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
22102-3334
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
703-772-4428
Provider Business Practice Location Address Fax Number:
571-384-6309
Provider Enumeration Date:
11/20/2024

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 103TC0700X , with the licence number:  0810008708 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 30018675690001 , issued by the state of ( VA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1831914241 , issued by the state of ( VA ) . This identifiers is of the category "MEDICAID".




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